NPI 1962685263 · live from the CMS NPI Registry
Granite Harbor Business Development LLC
Dietitian, Registered in West Warwick, RI. National Provider Identifier 1962685263, active.
NPI record
| NPI | 1962685263 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1 James P. Murphy Industrial Highway, West Warwick, RI 02893 |
| Practice phone | 401-615-5538 |
| Mailing address | Po Box 7782, Warwick, RI 02887 |
| Enumerated | December 10, 2007 |
| Last updated | November 3, 2017 |
| Authorized official | Timothy Mccarthy, Manager |
| Other names | Nutrition Consultants LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service | 305S00000X | — |
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.