Organization
MIDWEST NUTRITION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WHITNEY BLACK MS, RD, LD, LMNT (OWNER)
(662) 322-9037
Entity
Organization
Contact information
Practice address
103 NORTH AVE STE 8, COUNCIL BLUFFS, IA 51503-1613
(662) 322-9037
Mailing address
8169 S 185TH ST, OMAHA, NE 68136-6451
(662) 322-9037
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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