Organization
FUELED & FED NUTRITION
Active
Organization
FUELED & FED NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA TEMPLES MPH, LDN (OWNER/NUTRITIONIST)
(872) 529-6420
Entity
Organization
Contact information
Practice address
209 MADISON ST STE 320B, ALEXANDRIA, VA 22314-1764
(872) 529-6420
(703) 215-3078
Mailing address
349 S PICKETT ST, ALEXANDRIA, VA 22304-4747
(412) 527-3323
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DX4576
LDN LICENSE
MD
Enumeration date
06/23/2019
Last updated
03/24/2025
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