Organization · Type 2 NPI

Essential Nutrition LLC

Clinic/Center · Boulder, CO

NPI number 1104043553 Active

Practice location

4410 Arapahoe Ave, Suite 110
Boulder, CO 80303-1135

Fax (720) 306-4644

Mailing address

823 W. Mulberry St.
Louisville, CO 80027

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000XNone listed
Clinic/Center Primary 261Q00000X838488 (CO)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6 other providers at this address

Other clinic/center providers in Boulder

See all in Boulder →

About NPI 1104043553

Essential Nutrition LLC's National Provider Identifier is 1104043553, issued on Apr 19, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Boulder, CO. The record was last updated on Oct 10, 2025.