| Nourished Life Nutrition, Pllc | |
|
4801 Joyce Pl, Liverpool, NY 13090-6911 | |
| (315) 528-4711 | |
| Not Available |
| Full Name | Nourished Life Nutrition, Pllc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 4801 Joyce Pl, Liverpool, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891386371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Brooke Ann Marie Decelles |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770171191 PECOS PAC ID: 3072045954 Enrollment ID: I20241017003079 |
| Mailing Address | Practice Location Address |
|---|---|
| Nourished Life Nutrition, Pllc 4801 Joyce Pl, Liverpool, NY 13090-6911 Ph: (315) 528-4711 | Nourished Life Nutrition, Pllc 4801 Joyce Pl, Liverpool, NY 13090-6911 Ph: (315) 528-4711 |
Erin Driscoll, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 306 Beechwood Ave, Liverpool, NY 13088 Phone: 315-350-9758 | |
Maureen Shanahan Fauler, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7360 Farmstead Rd, Liverpool, NY 13088 Phone: 315-451-7792 | |
Mrs. Suzanne Miller Taddeo, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 103 Saltmakers Rd, Liverpool, NY 13088 Phone: 315-333-2032 | |
Cheryl J Smith, RD, CDN, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 7246 Janus Park Drive, Liverpool, NY 13088 Phone: 315-458-2222 Fax: 315-458-9006 | |
Jillian Wilson, MA,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4800 Bear Rd, Liverpool, NY 13088 Phone: 315-200-2181 | |
Mrs. Robin T Neal, RD,CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8146 Portobello Way, Liverpool, NY 13090 Phone: 315-491-3791 | |
Maureen Ashbarry, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 706 Old Liverpool Rd Apt 301, Liverpool, NY 13088 Phone: 315-572-1290 |