MEDICARE: NURTURED & WELL LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1821927435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURTURED & WELL LLC

Provider Business Mailing Address
First Line	:	326 WOODLAND ST # 1005
Second Line	:
City	:	HOLLISTON
State	:	MA
Zip	:	01746-1824
Country	:	US
Telephone Number	:	774-244-3444
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 MARILYN ST
Second Line	:
City	:	HOLLISTON
State	:	MA
Zip	:	01746-2036
Country	:	US
Telephone Number	:	774-244-3444
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIETITIAN
Name	:	HANNAH DAIGNEAULT
Credential	:	RD
Telephone Number	:	952-956-4907

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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