# NOURISHED ONE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053980763
- **Authorized official:** ANNIE LIN CNS (OWNER)
- **Authorized official phone:** (817) 542-6323

## Contact information

- **Practice address:** 6161 NW 2ND AVE APT 214, BOCA RATON, FL 33487-3047
- **Practice address phone:** (817) 542-6323
- **Mailing address:** 6161 NW 2ND AVE APT 214, BOCA RATON, FL 33487-3047
- **Mailing address phone:** (817) 542-6323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2021
- **Last updated:** 06/18/2021