| Nutriplexity Llc | |
|
2020 Shamrock Dr. Nw Bremerton WA 98312 | |
| (979) 703-9608 | |
| Not Available |
| Full Name | Nutriplexity Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2020 Shamrock Dr. Nw, Bremerton, Washington |
| Authorized Official Name and Position | Emily Elizabeth Brown Reeves (OWNER) |
| Authorized Official Contact | 9797039608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutriplexity Llc 2020 Shamrock Dr. Nw Bremerton WA 98312 Ph: (979) 703-9608 | Nutriplexity Llc 2020 Shamrock Dr. Nw Bremerton WA 98312 Ph: (979) 703-9608 |
| NPI Number | 1902491921 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 08/10/2021 |
| Medicare PECOS PAC ID | 3971910308 |
|---|---|
| Medicare Enrollment ID | O20210330002645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902491921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Emily E Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619529203 PECOS PAC ID: 4880001213 Enrollment ID: I20210330002666 |
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