NPI 1740754472
Northern Nutrition Group, LLC
Practice location
- Address
- 2002 N 22nd Ave STE 2, Bozeman, MT 59718-3153
- Phone
- (406) 282-1398
- Fax
- (406) 551-1420
- Mailing address
- PO Box 73, Bozeman, MT 59771
Authorised official
- Name
- Kimberly Johnson
- Title
- Owner
- Phone
- (229) 560-8807
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1740754472
- Entity type
- Organization
- NPI issued
- 16 Jan 2019
- Record last updated
- 14 Jun 2022
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.