MEDICARE: WHITNEY HELTON NUTRITION AND WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1871363887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITNEY HELTON NUTRITION AND WELLNESS, LLC

Provider Business Mailing Address
First Line	:	3005 ROSS DR APT T2
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-1165
Country	:	US
Telephone Number	:	812-766-3355
Fax Number	:

Provider Business Practice Location Address
First Line	:	3005 ROSS DR APT T2
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-1165
Country	:	US
Telephone Number	:	812-766-3355
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WHITNEY HELTON
Credential	:	RDN
Telephone Number	:	812-766-3355

Provider Enumeration Date	:	01/02/2024
Last Update Date	:	01/02/2024

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