Organization
NOURISH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE URNESS RD, LN (REGISTERED DIETITIAN)
(406) 580-7307
Entity
Organization
Contact information
Practice address
2100 FAIRWAY DR, SUITE 100, BOZEMAN, MT 59715-5814
(406) 580-7307
Mailing address
2100 FAIRWAY DR, SUITE 100, BOZEMAN, MT 59715-5814
(406) 580-7307
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
MED-NUTR-LIC-43156
MT
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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