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Organization

NUTRIPLEDGE, LLC

Active
Other names
NutriPledge
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHRADDHA CHAUBEY MS,RD,CD (FOUNDER,PRESIDENT AND CEO)
(765) 491-6700
Entity
Organization

Contact information

Practice address
3367 BOONE ST, WEST LAFAYETTE, IN 47906-1283
(765) 491-6700
Mailing address
3367 BOONE ST, WEST LAFAYETTE, IN 47906-1283
(765) 491-6700

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
37001806A
IN
251S00000X
Community/Behavioral Health Agency
37001806A
IN
302R00000X
Health Maintenance Organization
Primary
37001806A
IN

Other

Enumeration date
05/20/2010
Last updated
01/19/2011
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