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NPI 1396341145 · live from the CMS NPI Registry

Elevate LLC

Dietitian, Registered, Nutrition, Obesity and Weight Management in East Greenwich, RI. National Provider Identifier 1396341145, active.

NPI record

NPI1396341145 Type 2 · organization
StatusActive
Primary specialtyDietitian, Registered, Nutrition, Obesity and Weight Management 133VN1201X
Practice location333 Main St Ste 1, East Greenwich, RI 02818
Practice phone401-447-2369
Mailing address79 Seacrest Ln, Warwick, RI 02889
EnumeratedDecember 8, 2020
Last updatedDecember 8, 2020
Authorized officialCharles Henley, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered, Nutrition, Obesity and Weight Management primary133VN1201X—

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