Organization · Type 2 NPI

Nutritionally Yours LLC

Clinic/Center · Wake Forest, NC

NPI number 1376914853 Active

Practice location

1112 Ladowick Ln
Wake Forest, NC 27587-5584

Fax (919) 300-8913

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XL001824 (NC)

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).

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About NPI 1376914853

Nutritionally Yours LLC's National Provider Identifier is 1376914853, issued on Oct 9, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Wake Forest, NC. The record was last updated on Apr 14, 2023.