Provider Demographics
NPI:1174491120
Name:NUTRIWISE HEALTH LLC
Entity type:Organization
Organization Name:NUTRIWISE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN & FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAETANO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, CDN, LDN
Authorized Official - Phone:203-214-7922
Mailing Address - Street 1:1880 CAMINO DE LA REINA # 1100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1539
Mailing Address - Country:US
Mailing Address - Phone:615-537-9777
Mailing Address - Fax:
Practice Address - Street 1:15525 POMERADO RD STE C1
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2425
Practice Address - Country:US
Practice Address - Phone:619-537-9777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty