IndividualActive
Georgia Thelen
NPI 1356010334 · Nutritionist · Indianapolis, IN
Provider details
- NPI number
- 1356010334
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
9364 Haverstick Rd
Indianapolis, IN 46240-1318
Phone: (989) 640-3315
Approximate (ZIP-level) locationGet directions
Mailing address
9364 Haverstick Rd
Indianapolis, IN 46240-1318
Registry dates
- Enumerated
- 2021-09-13
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.