Provider Demographics
NPI:1225886534
Name:MICHELLE WRIGHT NUTRITION LLC
Entity type:Organization
Organization Name:MICHELLE WRIGHT NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:WRIGHT
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDE, CDCES
Authorized Official - Phone:908-528-6370
Mailing Address - Street 1:124 ARAPAHO TRL
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-5417
Mailing Address - Country:US
Mailing Address - Phone:908-528-6370
Mailing Address - Fax:
Practice Address - Street 1:124 ARAPAHO TRL
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-5417
Practice Address - Country:US
Practice Address - Phone:908-528-6370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty