Healthcare Provider Details

I. General information

NPI: 1427687631
Provider Name (Legal Business Name): NUTRITION A PLUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 04/08/2020
Certification Date: 04/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8772 QUARTERS LAKE RD STE 10
BATON ROUGE LA
70809-7309
US

IV. Provider business mailing address

2525 ONEAL LN APT 716
BATON ROUGE LA
70816-3417
US

V. Phone/Fax

Practice location:
  • Phone: 662-458-5237
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: AQUIERRA ANDERSON
Title or Position: REGISTERED DIETITIAN
Credential: MS RDN LDN
Phone: 662-458-5237