NPI 1699516633 · live from the CMS NPI Registry
Active Nutrition LLC
Dietitian, Registered in Farmington Hills, MI. National Provider Identifier 1699516633, active.
NPI record
| NPI | 1699516633 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 32988 Thorndyke Ct, Farmington Hills, MI 48334 |
| Practice phone | 248-459-1508 |
| Enumerated | June 4, 2024 |
| Last updated | June 4, 2024 |
| Authorized official | Julia Stevens, Owner, Registered Dietitian |
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.