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
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | L001824 (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.