Organization Name: | PEACEFULLY NOURISHED LLC |
NPI Number: | 1730572223 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELISHA L RAIN (PROVIDER) |
Mailing Address: | 18978 Front Street Suite A Poulsbo |
State: | WA US |
Postal Code: | 98370 |
Phone Number: | 3606266026 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2015 |
NPI Last Update Date: | 03/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | NU60413953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |