Grace Nutrition
NPI #1780329078 in Springfield, Illinois
Provider Information
- NPI Number
- 1780329078
- Entity Type
- Organization
- Organization Name
- Grace Nutrition
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- May 1, 2022
- Last Updated
- May 1, 2022
Practice Location
- Address
- 4200 CONESTOGA DR # 121
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711-7934
- Phone
- (217) 891-1522
Authorized Official
- Name
- ANNA E IHNEN, MS, RDN, LDN
- Title
- REGISTERED DIETITIAN
- Phone
- (217) 891-1522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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