| Sunrise Nutrition Consulting Llc | |
|
359 N Old Us Highway 81 Hesston KS 67062-9406 | |
| (316) 217-2984 | |
| (620) 869-9032 |
| Full Name | Sunrise Nutrition Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 359 N Old Us Highway 81, Hesston, Kansas |
| Authorized Official Name and Position | Paula Miller (REGISTERED DIETITIAN) |
| Authorized Official Contact | 3162172984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Nutrition Consulting Llc 109 E Pine St Hesston KS 67062-9055 Ph: (316) 217-2984 | Sunrise Nutrition Consulting Llc 359 N Old Us Highway 81 Hesston KS 67062-9406 Ph: (316) 217-2984 |
| NPI Number | 1275195992 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 07/02/2019 |
| Medicare PECOS PAC ID | 9032520606 |
|---|---|
| Medicare Enrollment ID | O20201203000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275195992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Paula Miller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548463128 PECOS PAC ID: 0749691319 Enrollment ID: I20201203000667 |
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