Provider Demographics
NPI:1285328146
Name:CW NUTRITION & WELLNESS CONSULTING LLC
Entity type:Organization
Organization Name:CW NUTRITION & WELLNESS CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WAITE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, RDN
Authorized Official - Phone:480-331-9093
Mailing Address - Street 1:7641 S TOWEL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:GOLD CANYON
Mailing Address - State:AZ
Mailing Address - Zip Code:85118-2227
Mailing Address - Country:US
Mailing Address - Phone:480-331-9093
Mailing Address - Fax:866-401-1485
Practice Address - Street 1:7641 S TOWEL CREEK DR
Practice Address - Street 2:
Practice Address - City:GOLD CANYON
Practice Address - State:AZ
Practice Address - Zip Code:85118-2227
Practice Address - Country:US
Practice Address - Phone:480-331-9093
Practice Address - Fax:866-401-1485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center