NPI 1548775299
Providence Nutrition, LLC
Practice location
- Address
- 439 Benefit St Unit 1, Providence, RI 02903-2934
- Phone
- (401) 262-0841
Authorised official
- Name
- Neil Beranbaum
- Title
- Manager
- Phone
- (401) 465-4222
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1548775299
- Entity type
- Organization
- NPI issued
- 4 Dec 2017
- Record last updated
- 4 Dec 2017
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.