Healthcare Provider Details

I. General information

NPI: 1659102853
Provider Name (Legal Business Name): NUTRITION ON A BUDGET LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2024
Last Update Date: 08/09/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3522 ROUTE 113
THETFORD CENTER VT
05075-0052
US

IV. Provider business mailing address

PO BOX 52
THETFORD VT
05074-0052
US

V. Phone/Fax

Practice location:
  • Phone: 802-333-9003
  • Fax: 844-252-2008
Mailing address:
  • Phone: 802-333-9003
  • Fax: 844-252-2008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: ELISE B CUSHMAN
Title or Position: OWNER
Credential: RD
Phone: 802-333-9003