Triune Nutrition Llc | |
5633 N Marvine St, Philadelphia, PA 19141-4115 | |
(267) 205-9137 | |
Not Available |
Full Name | Triune Nutrition Llc |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 5633 N Marvine St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447970322 | NPI | - | NPPES |
1265165708 | Other | PA | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Natasha Hutchinson |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1265165708 PECOS PAC ID: 8628442035 Enrollment ID: I20230327002711 |
Mailing Address | Practice Location Address |
---|---|
Triune Nutrition Llc 5633 N Marvine St, Philadelphia, PA 19141-4115 Ph: (267) 205-9137 | Triune Nutrition Llc 5633 N Marvine St, Philadelphia, PA 19141-4115 Ph: (267) 205-9137 |
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