OrganizationActive
Advanced Nutrition, LLC
NPI 1174947253 · Registered Dietitian · Waltham, MA
Provider details
- NPI number
- 1174947253
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Adam Laferriere, Co-Owner(781) 642-1250
- License
- 2334 (MA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
32 South St
Unit 300
Waltham, MA 02453-3594
Phone: (781) 642-1250
Fax: (781) 207-6415
Approximate (ZIP-level) locationGet directions
Mailing address
32 South St
Waltham, MA 02453-3594
Registry dates
- Enumerated
- 2014-02-11
- Last updated
- 2014-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.