ELLAD NUTRITION CONSULTING LLC NPI 1700123064

NPI Information

NPI: 1700123064
Provider Name: ELLAD NUTRITION CONSULTING, LLC

Doing Business As: ELLAD PREVENTATIVE HEALTH SERVICES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
9401 COURTHOUSE RD STE 202
CHESTERFIELD, VA
ZIP 23832
Phone: (804) 616-4378
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ELLAD NUTRITION CONSULTING, LLC is a multi-specialty clinic center in Chesterfield, VA. ELLAD NUTRITION CONSULTING, LLC NPI is 1700123064. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ellad Preventative Health Services.

The provider's business location address is:

9401 COURTHOUSE RD STE 202
CHESTERFIELD, VA
ZIP 23832-687
Phone: (804) 616-4378
Fax: (804) 451-4586

The provider's authorized official is Tyra L Tanner .
The authorized official title is Clinical Director and has the following contact phone number (804) 616-4378.

The enumeration date for this NPI number is 1/7/2013 and was last updated on 2/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	133V00000X	Dietitian, Registered		No
2	261QH0100X	Clinic/Center	Health Service	No
3	363L00000X	Nurse Practitioner		No
4	363LA2200X	Nurse Practitioner	Adult Health	No
5	364S00000X	Clinical Nurse Specialist		No
6	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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