Provider Demographics
NPI:1588331821
Name:N2U NUTRITION
Entity type:Organization
Organization Name:N2U NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEQUITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-675-2996
Mailing Address - Street 1:3131 LAKEBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-4124
Mailing Address - Country:US
Mailing Address - Phone:757-675-2996
Mailing Address - Fax:757-282-2664
Practice Address - Street 1:3 BUTLER FARM RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1567
Practice Address - Country:US
Practice Address - Phone:757-675-2996
Practice Address - Fax:757-282-2664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care