Healthcare Provider Details

I. General information

NPI: 1770121097
Provider Name (Legal Business Name): TRUE NATURE WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2019
Last Update Date: 12/18/2019
Certification Date: 12/18/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 PERSHING DR STE 5
SILVER SPRING MD
20910-4436
US

IV. Provider business mailing address

804 PERSHING DR STE 5
SILVER SPRING MD
20910-4436
US

V. Phone/Fax

Practice location:
  • Phone: 301-964-0292
  • Fax:
Mailing address:
  • Phone: 301-964-0292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KEEGAN ABERNATHY
Title or Position: OWNER
Credential: MS, CNS, LDN
Phone: 301-964-0292