Advanced Nutrition, LLC
Dietitian, Registered in Waltham, Massachusetts
1174947253- Practice location
- 32 South St, Unit 300, Waltham, MA 02453-3594
- Phone
- 781-642-1250
- Fax
- 781-207-6415
- Last updated
- February 11, 2014
Advanced Nutrition, LLC is a healthcare organization based in Waltham, MA. Advanced Nutrition, LLC practices in Waltham, MA. The NPI Number for Advanced Nutrition, LLC is 1174947253 and holds a License No. 2334 (MA). The current practice location address for Advanced Nutrition, LLC is 32 South St, Unit 300, Waltham, MA 02453-3594 and can be reached out via phone at 781-642-1250 and via fax at 781-207-6415.
Provider Profile Details
- NPI Number
- 1174947253
- Provider Name
- Advanced Nutrition, LLC
- Provider Entity Type
- Organization
- Address
- 32 South St, Unit 300, Waltham, MA 02453-3594
- Phone Number
- 781-642-1250
- Fax Number
- 781-207-6415
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Organization Subpart
- No
- Authorized Official
- Adam Laferriere, PA · Co-Owner · 781-642-1250
- Provider Enumeration Date
- February 11, 2014
- Last Update Date
- February 11, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 32 South St
Unit 300
Waltham, MA 02453-3594 - City
- Waltham
- State
- Massachusetts
- Zip
- 02453-3594
- Phone Number
- 781-642-1250
- Fax Number
- 781-207-6415
Provider Business Mailing Address Details
- Address
- 32 South St
Unit 300
Waltham, MA 02453-3594 - City
- Waltham
- State
- MA
- Zip
- 02453-3594
- Phone Number
- 781-642-1250
- Fax Number
- 781-207-6415
License Information
- License Number
- 2334
- License State
- MA
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Advanced Nutrition, LLC?
The NPI number of Advanced Nutrition, LLC is 1174947253. It was assigned on February 11, 2014 and is currently active in the NPPES registry.
What is the specialty of Advanced Nutrition, LLC?
Advanced Nutrition, LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 2334.
Where does Advanced Nutrition, LLC practice?
The practice location is 32 South St, Unit 300, Waltham, MA 02453-3594. The office can be reached at 781-642-1250 (phone) or 781-207-6415 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174947253 directly on the NPPES registry website.