Provider Demographics
NPI:1588999809
Name:NUTRITION WORKS LLC
Entity type:Organization
Organization Name:NUTRITION WORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:RD LD
Authorized Official - Phone:603-223-8119
Mailing Address - Street 1:3 PINE CREST DR
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-4422
Mailing Address - Country:US
Mailing Address - Phone:603-223-8119
Mailing Address - Fax:603-223-8130
Practice Address - Street 1:18 N MAIN ST
Practice Address - Street 2:SUITE 304
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4926
Practice Address - Country:US
Practice Address - Phone:603-223-8119
Practice Address - Fax:603-223-8130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH27133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHMT0756Medicare PIN