Provider Demographics
NPI:1407641046
Name:THREE ANCHORS NUTRITION & WELL-BEING LLC
Entity type:Organization
Organization Name:THREE ANCHORS NUTRITION & WELL-BEING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FIABANE
Authorized Official - Suffix:
Authorized Official - Credentials:MPH RDN LDN
Authorized Official - Phone:732-820-0032
Mailing Address - Street 1:32 MONMOUTH ST STE 309
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-2069
Mailing Address - Country:US
Mailing Address - Phone:732-820-0032
Mailing Address - Fax:
Practice Address - Street 1:32 MONMOUTH ST STE 309
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2069
Practice Address - Country:US
Practice Address - Phone:732-820-0032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty