NPI 1720638992
Tidewater Nutrition & Wellness LLC
Practice location
- Address
- 52 Cove St, Portland, ME 04101-2514
- Phone
- (207) 358-0154
Authorised official
- Name
- Kristine Taylor
- Title
- Registered Dietitian/Owner
- Phone
- (207) 358-0154
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1720638992
- Entity type
- Organization
- NPI issued
- 18 Sep 2019
- Record last updated
- 18 Sep 2019
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.