NPI 1356010334

Georgia Thelen

Practitioner Nutritionist Indianapolis, IN

Practice location

Address: 9364 Haverstick Rd, Indianapolis, IN 46240-1318
Phone: (989) 640-3315

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

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Registry record

NPI: 1356010334
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2021
Record last updated: 13 Sep 2021

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.