Healthcare Provider Details

I. General information

NPI: 1225644933
Provider Name (Legal Business Name): HEALTHIER PLATE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 09/17/2020
Certification Date: 09/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 WHISPERING PINES DR
SCOTTS VALLEY CA
95066-4629
US

IV. Provider business mailing address

1220 WHISPERING PINES DR
SCOTTS VALLEY CA
95066-4629
US

V. Phone/Fax

Practice location:
  • Phone: 954-683-5014
  • Fax:
Mailing address:
  • Phone: 954-683-5014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MS. JULIANA MAGGIO
Title or Position: PRESIDENT
Credential: RD
Phone: 954-683-5014