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Organization
PROUD PEACEFUL NUTRITION, LLC
Active
Organization
PROUD PEACEFUL NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE L PROUD RDN, LD, CEDS (OWNER, REGISTERED DIETITIAN)
(319) 331-9017
Entity
Organization
Contact information
Practice address
2751 OAKDALE BLVD STE 1, CORALVILLE, IA 52241-9749
(319) 331-9017
(319) 469-8763
Mailing address
2751 OAKDALE BLVD STE 1, CORALVILLE, IA 52241-9749
(319) 331-9017
(319) 469-8763
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
06/03/2026
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