Healthcare Provider Details

I. General information

NPI: 1831650837
Provider Name (Legal Business Name): NOURISHED JOURNEY NUTRITION COUNSELING AND DOULA SUPPORT PLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2019
Last Update Date: 03/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1081 VT ROUTE 15
UNDERHILL VT
05489-9341
US

IV. Provider business mailing address

1081 VT ROUTE 15
UNDERHILL VT
05489-9341
US

V. Phone/Fax

Practice location:
  • Phone: 802-557-4130
  • Fax:
Mailing address:
  • Phone: 802-557-4130
  • 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: EMILY PIAZZA
Title or Position: OWNER
Credential: MS, RD, CD
Phone: 802-557-4130