| The Fresh Beet Nutrition Llc | |
|
1609 W Moss Ave, Peoria, IL 61606-1642 | |
| (843) 410-8233 | |
| Not Available |
| Full Name | The Fresh Beet Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1609 W Moss Ave, Peoria, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003380866 | NPI | - | NPPES |
| DT1129 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| The Fresh Beet Nutrition Llc 1609 W Moss Ave, Peoria, IL 61606-1642 Ph: (843) 410-8233 | The Fresh Beet Nutrition Llc 1609 W Moss Ave, Peoria, IL 61606-1642 Ph: (843) 410-8233 |
Mrs. Crystal Ann Casper, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7610 N Orange Prarie Road, Peoria, IL 61615 Phone: 309-589-1001 | |
Mrs. Patrice Jeanne Cole, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5409 N. Knoxville Ave., Proctor Hospital, Peoria, IL 61614 Phone: 309-691-1056 Fax: 309-689-6010 | |
Karen Ann Hutton, RD, LDN, MA Dietitian Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-4957 Fax: 309-672-4953 | |
Mrs. Allyson Cole, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3341 W Pilgrims Way, Peoria, IL 61615 Phone: 815-685-1563 | |
Ashley Simper, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2054 Fax: 309-655-4022 | |
Norma A. Wiser, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-683-5865 Fax: 309-655-7869 |