Organization
MICHELLE HORAN NUTRITION AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HORAN RDN (OWNER)
(978) 621-5364
Entity
Organization
Contact information
Practice address
35 MANCHESTER RD, DERRY, NH 03038-3064
(603) 573-9658
Mailing address
19 HOLTON CIR, LONDONDERRY, NH 03053-3014
(978) 621-5364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
395
LICENSE
NH
Enumeration date
08/12/2022
Last updated
12/15/2022
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