Organization
MARIN FUNCTIONAL MEDICINE LLC
Active
Organization
MARIN FUNCTIONAL MEDICINE LLC
Active
Other names
Marin Functional Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ROBINSON MS, CDN, NBC-HWC (OWNER, CLINICAL NUTRITIONIST)
(415) 846-1891
Entity
Organization
Contact information
Practice address
22 JULES DR, NOVATO, CA 94947-2015
(415) 846-1891
Mailing address
22 JULES DR, NOVATO, CA 94947-2015
(415) 846-1891
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
04/11/2023
Last updated
08/02/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up