Wellformed AI

NPI 1275199085 · live from the CMS NPI Registry

Cbnutrition, LLC

Dietitian, Registered in Elko, NV. National Provider Identifier 1275199085, active.

NPI record

NPI1275199085 Type 2 · organization
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location620 S 12th St Ste 110, Elko, NV 89801
Practice phone775-340-2257
Mailing addressPo Box 1066, Elko, NV 89803
EnumeratedMay 16, 2019
Last updatedMay 16, 2019
Authorized officialCourtney Nalivka, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.