Organization
NUTRITION CORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL BROOK BUNNEY MSHA, RD/LD (REGISTERED DIETITIAN)
(918) 557-0022
Entity
Organization
Contact information
Practice address
1305 N HIGHWAY 66, SUITE B, CATOOSA, OK 74015-2460
(918) 557-0022
Mailing address
15336 E 470 RD, CLAREMORE, OK 74017-5372
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1312
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285716803
NPI
OK
05
—
200049320B
—
OK
Enumeration date
09/30/2010
Last updated
09/30/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us