# APPLE WELLNESS AND NUTRITION CENTER. LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** APPLE WELLNESS AND NUTRIOTIONCENTER, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568060903
- **Authorized official:** SHOBHA NANDIVADA RD,CDE,IFNCP (OWNER/PROVIDER)
- **Authorized official phone:** (347) 982-4372

## Contact information

- **Practice address:** 6132 WHEATLAND RD, BALTIMORE, MD 21228-2762
- **Practice address phone:** (347) 967-7243
- **Practice address fax:** (410) 788-1086
- **Mailing address:** 6132 WHEATLAND RD, BALTIMORE, MD 21228-2762
- **Mailing address phone:** (347) 967-7243
- **Mailing address fax:** (410) 788-1086

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2020
- **Last updated:** 10/16/2020