Nourish Well Integrative Nutrition, LLC

NPI #1407724404 in Herndon, Virginia

Provider Information

NPI Number: 1407724404
Entity Type: Organization
Organization Name: Nourish Well Integrative Nutrition, LLC
Primary Specialty: Nutritionist
Enumeration Date: Oct 29, 2025
Last Updated: Dec 1, 2025

Practice Location

Address: 481 CARLISLE DR # D1
City: Herndon
State: Virginia
ZIP Code: 20170-4882
Phone: (703) 468-1241

Authorized Official

Name: DR. KEREN E DOLAN, DCN, CNS, LDN
Title: MANAGING MEMBER/ CLINICAL DIRECTOR
Phone: (703) 468-1241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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