Healthcare Provider Details

I. General information

NPI: 1427667039
Provider Name (Legal Business Name): ISCRIPT NUTRITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2020
Last Update Date: 07/29/2020
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 N 2ND ST STE 100
RICHMOND KY
40475-1408
US

IV. Provider business mailing address

212 N 2ND ST STE 100
RICHMOND KY
40475-1408
US

V. Phone/Fax

Practice location:
  • Phone: 859-363-5945
  • Fax:
Mailing address:
  • Phone: 859-363-5945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: MS. ANN MARIE MUSICK
Title or Position: CEO/NUTRITIONIST
Credential: CN
Phone: 937-776-5328