Provider Demographics
NPI:1891519674
Name:NUTRITIONINSIGHT
Entity type:Organization
Organization Name:NUTRITIONINSIGHT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN AND DIABETES EDUCATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PUNITHAVATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOPALAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS,RD,LD,CDCES
Authorized Official - Phone:603-879-0027
Mailing Address - Street 1:379 AMHERST STREET PMB 355
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063
Mailing Address - Country:US
Mailing Address - Phone:603-879-0027
Mailing Address - Fax:
Practice Address - Street 1:10 OWLS HEAD DR
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1561
Practice Address - Country:US
Practice Address - Phone:603-879-0027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty