# NOURISH COACHES

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

## Provider details

- **NPI number:** 1912382938
- **Authorized official:** DEBBIE PETERSON CHC (OWNER)
- **Authorized official phone:** (732) 945-9915

## Contact information

- **Practice address:** 252 MAPLE AVE, WIKOFF BUILDING, RED BANK, NJ 07701-1731
- **Practice address phone:** (732) 945-9915
- **Mailing address:** 252 MAPLE AVE, WIKOFF BUILDING, RED BANK, NJ 07701-1731
- **Mailing address phone:** (732) 945-9915

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 07/21/2015