Provider Demographics
NPI:1124421276
Name:NUTRITIOUS NAVIGATION
Entity type:Organization
Organization Name:NUTRITIOUS NAVIGATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIAGNO
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:774-644-0535
Mailing Address - Street 1:99 M ST
Mailing Address - Street 2:#5
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-3193
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99 M ST
Practice Address - Street 2:#5
Practice Address - City:SOUTH BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02127-3193
Practice Address - Country:US
Practice Address - Phone:774-644-0535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2781133V00000X
MA2757133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty