Provider Demographics
NPI:1689337305
Name:NURTURING NUTRITION AND WELLNESS, LLC
Entity type:Organization
Organization Name:NURTURING NUTRITION AND WELLNESS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, RDN, LD
Authorized Official - Phone:956-445-5422
Mailing Address - Street 1:1409 S 9TH AVE STE 142
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5527
Mailing Address - Country:US
Mailing Address - Phone:956-455-5422
Mailing Address - Fax:956-540-5826
Practice Address - Street 1:1409 S 9TH AVE STE 142
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5527
Practice Address - Country:US
Practice Address - Phone:956-507-0784
Practice Address - Fax:956-540-5826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty