Organization
KNOWINGLY NOURISHED, LLC
Active
Other names
Nina Fearon, RDN, Nina Fearon, RDN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NINA FEARON RDN (OWNER)
(231) 881-6497
Entity
Organization
Contact information
Practice address
6642 S LAKE SHORE DR # DI, HARBOR SPRINGS, MI 49740-9785
(231) 881-6497
(231) 344-6033
Mailing address
6642 S LAKE SHORE DR, HARBOR SPRINGS, MI 49740-9785
(231) 881-6497
(231) 344-6033
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
813672
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
06/10/2020
Last updated
06/10/2020
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