Wellformed AI

NPI 1962279257 · live from the CMS NPI Registry

Balanced Elements Nutrition LLC

Dietitian, Registered in Rutland, MA. National Provider Identifier 1962279257, active.

NPI record

NPI1962279257 Type 2 · organization
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location99 Prescott St, Rutland, MA 01543
Practice phone774-289-1450
EnumeratedDecember 6, 2023
Last updatedDecember 6, 2023
Authorized officialLauren Amann, Registered Dietitian/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.