| Nourish360 Llc | |
|
117 Mahogany Ln, King Of Prussia, PA 19406-2299 | |
| (610) 635-9942 | |
| Not Available |
| Full Name | Nourish360 Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 117 Mahogany Ln, King Of Prussia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780200147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Nicholas David Mosakowski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912523374 PECOS PAC ID: 5698183846 Enrollment ID: I20240623000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Nourish360 Llc 117 Mahogany Ln, King Of Prussia, PA 19406-2299 Ph: (610) 635-9942 | Nourish360 Llc 117 Mahogany Ln, King Of Prussia, PA 19406-2299 Ph: (610) 635-9942 |
Nicole Marie Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1150 First Ave Ste 501, King Of Prussia, PA 19406 Phone: 484-985-2401 Fax: 610-935-4820 | |
Stacey Weatherbee, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 120 Valley Green Ln Ste 510, King Of Prussia, PA 19406 Phone: 484-476-6320 Fax: 484-476-7802 | |
Jaclyn S Cimiluca I, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 150 S Warner Rd Ste 130, King Of Prussia, PA 19406 Phone: 973-464-4264 | |
Good Sense Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1150 First Ave Ste 501, King Of Prussia, PA 19406 Phone: 610-906-7280 | |
Nourish Functional Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1150 1st Ave, Suite 501, King Of Prussia, PA 19406 Phone: 267-416-0046 | |
Mrs. Stephanie Rose Fitzhenry, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 120 Valley Green Ln, King Of Prussia, PA 19406 Phone: 484-324-7100 | |
Ms. Nicole Marie Bergoine, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1150 First Avenue Suite 501, King Of Prussia, PA 19406 Phone: 484-985-2401 |