Whalio Doctors

NPI 1720638992

Tidewater Nutrition & Wellness LLC

Organisation Nutritionist Portland, ME

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
Dietary & Nutritional Service Providers Taxonomy 133N00000X

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.