NPI 1063296515 · live from the CMS NPI Registry
Blossom With Nutrition LLC
Dietitian, Registered in Detroit, MI. National Provider Identifier 1063296515, active.
NPI record
| NPI | 1063296515 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 18855 Lancashire St, Detroit, MI 48223 |
| Practice phone | 313-506-9876 |
| Enumerated | August 23, 2023 |
| Last updated | August 23, 2023 |
| Authorized official | Tameria English, Registered Dietitian |
| Other names | Blossom With Nutrition LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.