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Organization

NOURISH WELL INTEGRATIVE NUTRITION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEREN E DOLAN DCN, CNS, LDN (MANAGING MEMBER/ CLINICAL DIRECTOR)
(703) 468-1241
Entity
Organization

Contact information

Practice address
481 CARLISLE DR # D1, HERNDON, VA 20170-4882
(703) 468-1241
(703) 468-1241
Mailing address
481 CARLISLE DR # D1, HERNDON, VA 20170-4882
(703) 468-1241
(703) 468-1241

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
10/29/2025
Last updated
12/01/2025
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