Healthcare Provider Details

I. General information

NPI: 1174203210
Provider Name (Legal Business Name): NATURE NURTURE NOURISH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 VERMONT AVE
SAUGUS MA
01906-2441
US

IV. Provider business mailing address

10 VERMONT AVE
SAUGUS MA
01906-2441
US

V. Phone/Fax

Practice location:
  • Phone: 339-203-5014
  • Fax:
Mailing address:
  • Phone: 603-769-0430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: ALLISON DEPAOLO
Title or Position: OWNER, REGISTERED DIETITIAN
Credential: MS, RD, LDN
Phone: 857-228-4840