Organization
THRIVE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA EBNER MS, LN (MANAGER, NUTRITIONIST)
(612) 440-2415
Entity
Organization
Contact information
Practice address
5739 GARFIELD AVE, MINNEAPOLIS, MN 55419-1715
(612) 440-2415
Mailing address
5739 GARFIELD AVE, MINNEAPOLIS, MN 55419-1715
(612) 440-2415
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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