NPI 1780838425 · live from the CMS NPI Registry
Balanced Nutrition, LLC
Dietitian, Registered in Farmington Hills, MI. National Provider Identifier 1780838425, active.
NPI record
| NPI | 1780838425 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 32737 W 12 Mile Rd, Farmington Hills, MI 48334 |
| Practice phone | 248-310-1842 |
| Mailing address | Po Box 3279, Farmington Hills, MI 48333 |
| Enumerated | November 7, 2008 |
| Last updated | November 19, 2013 |
| Authorized official | Jennifer Farnham, Owner |
| Other names | Innovative Nutrition, LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | — |
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | — |
| Dietitian, Registered, Nutrition, Renal | 133VN1005X | — |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | — |
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.