Organization
ALEX GARDNER NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA RENEA NUSSBAUMER GARDNER RDN, LDN, CLC (OWNER)
(865) 659-1696
Entity
Organization
Contact information
Practice address
6829 MOUNTAIN SHADOW DR, KNOXVILLE, TN 37918-6317
(865) 659-1696
Mailing address
6829 MOUNTAIN SHADOW DR, KNOXVILLE, TN 37918-6317
(865) 659-1696
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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