Provider Demographics
NPI:1528884426
Name:NUWELL NUTRITION LLC
Entity type:Organization
Organization Name:NUWELL NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CSSD, LDN
Authorized Official - Phone:603-289-1240
Mailing Address - Street 1:3 ERIK DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-6005
Mailing Address - Country:US
Mailing Address - Phone:603-289-1240
Mailing Address - Fax:
Practice Address - Street 1:3 ERIK DR
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-6005
Practice Address - Country:US
Practice Address - Phone:603-289-1240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports DieteticsGroup - Multi-Specialty