Medical Nutrition Maui LLC
Organization Active NPI Registered Dietitian · Kula, HI
NPI 1184042467 · NPPES record last updated Oct 18, 2014
Key facts
- NPI
- 1184042467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 928923 (HI)
- Legal business name
- MEDICAL NUTRITION MAUI LLC
- Practice address
- 37 Lauie Dr
Kula, HI 96790-7200 - Phone
- (808) 760-2284
- NPI assigned
- Apr 3, 2014
- Organization subpart
- No
Authorized official
- Name
- Naomi Carreno, RD
- Title
- Owner
- Phone
- (808) 283-8859
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 928923 | HI | Yes |
Addresses
Primary practice location
37 Lauie Dr
Kula, HI 96790-7200
Mailing address
37 Lauie Dr
Kula, HI 96790-7200
Other providers in Kula, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 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.