MEDICARE: OH SO EASY NUTRITION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133VN1006X	Metabolic Nutrition Registered Dietitian
2	133VN1201X	Obesity and Weight Management Nutrition Registered Dietitian
3	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1396543229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OH SO EASY NUTRITION LLC

Provider Business Mailing Address
First Line	:	1313 ANDANTE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76134-3703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1313 ANDANTE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76134-3703
Country	:	US
Telephone Number	:	682-800-1916
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALMARIE TALAVERA
Credential	:	RDN, LD
Telephone Number	:	682-800-1916

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	03/05/2025

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Directions to “OH SO EASY NUTRITION LLC ” Practice Location

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