Organization · Type 2 NPI
Earthsoul Nutrition Therapy PLLC
Pediatric Nutrition Registered Dietitian · Portland, ME
Practice location
15 Bramhall St Apt 4
Portland, ME 04102-3122
Other practice locations
- 41 Dc Dr, Eliot, ME 03903-3113 · (603) 545-1553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian | 133V00000X | None listed |
| Pediatric Nutrition Registered Dietitian Primary | 133VN1004X | None listed |
Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…
About NPI 1124881545
Earthsoul Nutrition Therapy PLLC's National Provider Identifier is 1124881545, issued on Jan 31, 2024. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Portland, ME. The record was last updated on Dec 5, 2024.