Organization · Type 2 NPI
Upstream Wellness
Nutrition Education Nutritionist · Boulder Creek, CA
NPI number
1881544633
Active
Practice location
120 Mayfair Rd
Boulder Creek, CA 95006-9401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | None listed |
| Nutrition Education Nutritionist Primary | 133NN1002X | None listed |
Nutrition Education Nutritionist: Definition to come...
Another provider at this address
About NPI 1881544633
Upstream Wellness's National Provider Identifier is 1881544633, issued on Jan 31, 2026. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Boulder Creek, CA. The record was last updated on Jan 31, 2026.