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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIDEWATER NUTRITION & WELLNESS LLC

Active Organization

TIDEWATER NUTRITION & WELLNESS LLC is a Nutritionist organization located in PORTLAND, Maine. NPI 1720638992 is currently active in the NPPES registry. Verify at CMS.

Nutritionist · PORTLAND, ME

Registration Details

NPI Number
1720638992
Provider Type
Organization
NPI Issued
Sep 18, 2019 (6.9294498966505 yrs)
Last Updated
Sep 18, 2019

Practice Information

Address
52 COVE ST
PORTLAND, ME, 041012514
Browse ME providers · Browse ZIP 04101
Phone
2073580154
Primary Specialty
Nutritionist
133N00000X
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.