| Live Well Nutrition, Inc. | |
|
229 E Omer Ave, Mishawaka, IN 46545-6345 | |
| (574) 217-8372 | |
| Not Available |
| Full Name | Live Well Nutrition, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 229 E Omer Ave, Mishawaka, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629486964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 37001744A (Indiana) | Primary |
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | 37001744A (Indiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Nutrition, Inc. 229 E Omer Ave, Mishawaka, IN 46545-6345 Ph: (574) 217-8372 | Live Well Nutrition, Inc. 229 E Omer Ave, Mishawaka, IN 46545-6345 Ph: (574) 217-8372 |
Kayla Elise Dickson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-8445 | |
Mayelin Lora-williams, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-0001 | |
Mrs. Nikole Suzanne Barrett, R.D.N., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 229 E Omer Ave, Mishawaka, IN 46545 Phone: 574-217-8372 | |
Amanda Gordillo, MA, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2304 Trailridge S, Mishawaka, IN 46544 Phone: 574-383-3542 | |
Mrs. Linda Schaeper, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5214 Holycross Parkway, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Mrs. Tracy Jeannine Pfaffenberger, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 129 S Home St, Mishawaka, IN 46544 Phone: 574-256-9568 Fax: 574-256-0817 | |
Stephanie Terese Malley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 611 East Douglas Road, Suite 405, Mishawaka, IN 46545 Phone: 574-335-6240 Fax: 574-335-6241 |