| Nourished Life, Llc | |
|
11 Woods Ln, Simsbury, CT 06070-2475 | |
| (860) 810-9439 | |
| Not Available |
| Full Name | Nourished Life, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 11 Woods Ln, Simsbury, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588460596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nourished Life, Llc 11 Woods Ln, Simsbury, CT 06070-2475 Ph: (860) 810-9439 | Nourished Life, Llc 11 Woods Ln, Simsbury, CT 06070-2475 Ph: (860) 810-9439 |
Amy Woodman Dietitian Medicare: Medicare Enrolled Practice Location: 720 Hopmeadow St Ste 4, Simsbury, CT 06070 Phone: 860-324-8963 |
Michelle R Irvin, RD CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 7 Higate Ln, Simsbury, CT 06070 Phone: 402-612-4097 |
Mrs. Lisa Hope Cooperman, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8 Wilcox St, Simsbury, CT 06070 Phone: 860-830-7855 |