NPI 1003678467
North Star Nutrition Counseling , LLC
Practice location
- Address
- 101 W Kirkwood Ave STE 213, Bloomington, IN 47404-6134
- Phone
- (123) 180-4458
- Mailing address
- 3403 N Jinni Lynn CT, Bloomington, IN 47404-1181
Authorised official
- Name
- Stacey Matavuli
- Title
- Owner
- Phone
- (812) 318-0445
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1003678467
- Entity type
- Organization
- NPI issued
- 30 Jan 2024
- Record last updated
- 30 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.