Healthcare Provider Details

I. General information

NPI: 1548152382
Provider Name (Legal Business Name): INUTRITION HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

389 E RANDOLPH AVE
MINE HILL NJ
07803-3070
US

IV. Provider business mailing address

389 E RANDOLPH AVE
MINE HILL NJ
07803-3070
US

V. Phone/Fax

Practice location:
  • Phone: 862-707-8404
  • Fax: 973-328-1432
Mailing address:
  • Phone: 862-707-8404
  • Fax: 973-328-1432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. MARGARITA SIERRA
Title or Position: REGISTERED DIETITAN
Credential: RD
Phone: 862-707-8404