Organization
ELLAD NUTRITION CONSULTING, LLC
Active
Organization
ELLAD NUTRITION CONSULTING, LLC
Active
Other names
ELLAD Preventative Health Services, EPH Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYRA L TANNER DNP,ANP,CNS,MSN, RD (CLINICAL DIRECTOR)
(804) 616-4378
Entity
Organization
Contact information
Practice address
9401 COURTHOUSE RD STE 202, CHESTERFIELD, VA 23832-6687
(804) 616-4378
(804) 451-4586
Mailing address
PO BOX 2947, CHESTERFIELD, VA 23832-9118
(804) 616-4378
(804) 616-4378
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
01/07/2013
Last updated
01/11/2025
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