Nourish By Gina Llc is a
Dietitian, Registered based in Durham, Connecticut. Nourish By Gina Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
352 Main St, Durham, Connecticut. It can be reached at their office (for appointments etc.) via phone at
(203) 206-3873.
NPI number for Nourish By Gina Llc is 1013567031 and their current mailing address is 55 W Dayton Hill Rd, Wallingford, Connecticut. Nourish By Gina Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1013567031.
Healthcare Provider's Profile
Full Name | Nourish By Gina Llc |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 352 Main St, Durham, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013567031
- Provider Enumeration Date: 09/12/2019
- Last Update Date: 01/08/2020
Medical Identifiers
Medical identifiers for Nourish By Gina Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013567031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nourish By Gina Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nourish By Gina Llc 55 W Dayton Hill Rd, Wallingford, CT 06492-5309 Ph: (203) 206-3873 | Nourish By Gina Llc 352 Main St, Durham, CT 06422-1645 Ph: (203) 206-3873 |
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