NPI Code Details Logo

NPI 1265397657

NPI 1265397657 : EM- PLANTING NUTRITION : WASILLA, AK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265397657
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EM- PLANTING NUTRITION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/18/2025
-----------------------------------------------------
    Last Update Date     |    12/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7456 S ALIX DRIVE 
-----------------------------------------------------
    City                 |    WASILLA
-----------------------------------------------------
    State                |    AK
-----------------------------------------------------
    Zip                  |    99623
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-590-1892
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 877549 
-----------------------------------------------------
    City                 |    WASILLA
-----------------------------------------------------
    State                |    AK
-----------------------------------------------------
    Zip                  |    99687-7549
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     EMILY  KUNTZ 
-----------------------------------------------------
    Credential           |    RD, RDN
-----------------------------------------------------
    Telephone            |    701-590-1892
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    133V00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Dietitian
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.