Positively Nourished LLC

NPI #1568252856 in Twin Falls, Idaho

Provider Information

NPI Number: 1568252856
Entity Type: Organization
Organization Name: Positively Nourished LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: May 9, 2025
Last Updated: May 9, 2025

Practice Location

Address: 1153 TERRA AVE
City: Twin Falls
State: Idaho
ZIP Code: 83301-4734
Phone: (208) 607-5864

Authorized Official

Name: STEPHANIE NICOLE PUGH, RD
Title: OWNER, REGISTERED DIETITIAN
Phone: (208) 607-5864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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