Organization
NELNUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J. NELSON (OWNER)
(302) 442-3270
Entity
Organization
Contact information
Practice address
1140 RISING SUN AVE, PHILADELPHIA, PA 19140-5318
(302) 442-3270
Mailing address
1140 RISING SUN AVE, PHILADELPHIA, PA 19140-5318
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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