Provider Demographics
NPI:1902491921
Name:NUTRIPLEXITY LLC
Entity type:Organization
Organization Name:NUTRIPLEXITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:ELIZABETH BROWN
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD CNS
Authorized Official - Phone:979-703-9608
Mailing Address - Street 1:2020 SHAMROCK DR. NW
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312
Mailing Address - Country:US
Mailing Address - Phone:979-703-9608
Mailing Address - Fax:
Practice Address - Street 1:2020 SHAMROCK DR. NW
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312
Practice Address - Country:US
Practice Address - Phone:979-703-9608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center