Organization
EZ NUTRITION 4U, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI L BROUSSARD RDN, LDN (CEO, CONSULTANT DIETITIAN)
(904) 535-0012
Entity
Organization
Contact information
Practice address
11030 OAKMONT ST STE 100, OVERLAND PARK, KS 66210-1120
(904) 535-0012
Mailing address
9875 PIN OAK CIR, DE SOTO, KS 66018-9317
(904) 535-0012
(832) 852-5673
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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