Nourished Life, LLC
NPI #1588460596 in Simsbury, Connecticut
Provider Information
- NPI Number
- 1588460596
- Entity Type
- Organization
- Organization Name
- Nourished Life, LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Feb 20, 2025
- Last Updated
- Feb 20, 2025
Practice Location
- Address
- 11 WOODS LN
- City
- Simsbury
- State
- Connecticut
- ZIP Code
- 06070-2475
- Phone
- (860) 810-9439
Authorized Official
- Name
- JENNIFER BRAUN
- Title
- OWNER
- Phone
- (860) 506-6212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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| MS. Kelly Ann Forman, RDN | |
| Michelle R Irvin, RD CDE | |
| MRS. Lisa Hope Cooperman, RD, CDN | |
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