Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EARTHSOUL NUTRITION THERAPY PLLC
Active OrganizationPediatric Nutrition · PORTLAND, ME
Registration Details
- NPI Number
- 1124881545
- Provider Type
- Organization
- NPI Issued
- Jan 31, 2024 (2.2218133813219 yrs)
- Last Updated
- Dec 5, 2024
Practice Information
- Address
-
15 BRAMHALL ST APT 4PORTLAND, ME, 041023122Browse ME providers · Browse ZIP 04102
- Phone
- 6037933221
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.