Healthcare Provider Details

I. General information

NPI: 1447182456
Provider Name (Legal Business Name): NUTRIHEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 E PULASKI HWY UNIT C
ELKTON MD
21921-6747
US

IV. Provider business mailing address

PO BOX 67537
NEWARK NJ
07101-8009
US

V. Phone/Fax

Practice location:
  • Phone: 302-400-9999
  • Fax: 302-267-4001
Mailing address:
  • Phone: 302-400-9999
  • Fax: 302-267-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: TARA WALBRECHT
Title or Position: BILLING SPECIALIST
Credential:
Phone: 302-400-9999