Advanced Nutrition, LLC
Organization Active NPI Registered Dietitian · Waltham, MA
NPI 1174947253 · NPPES record last updated Feb 11, 2014
Key facts
- NPI
- 1174947253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2334 (MA)
- Legal business name
- ADVANCED NUTRITION, LLC
- Practice address
- 32 South St
Unit 300
Waltham, MA 02453-3594 - Phone
- (781) 642-1250
- Fax
- (781) 207-6415
- NPI assigned
- Feb 11, 2014
- Organization subpart
- No
Authorized official
- Name
- Adam Laferriere, PA
- Title
- Co-Owner
- Phone
- (781) 642-1250
Practitioners 1
-
Kathryn Ann Alsup, RD, LDN
National Provider Directory
Locations
32 South St
Ste 300
Waltham, MA 02453
Phone (781) 642-1250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 2334 | MA | Yes |
Addresses
Primary practice location
32 South St
Unit 300
Waltham, MA 02453-3594
Mailing address
32 South St
Unit 300
Waltham, MA 02453-3594
Phone (781) 642-1250
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.