OrganizationActive
Nourish Well Integrative Nutrition, LLC
NPI 1407724404 · Nutritionist · Herndon, VA
Provider details
- NPI number
- 1407724404
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Keren Dolan, Managing Member/ Clinical Director(703) 468-1241
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
481 Carlisle Dr # D1
Herndon, VA 20170-4882
Phone: (703) 468-1241
Fax: (703) 468-1241
Approximate (ZIP-level) locationGet directions
Mailing address
481 Carlisle Dr # D1
Herndon, VA 20170-4882
Additional practice locations (1)
- 750 MD Rt 3 SGambrills, MD 21054-1300Phone: (703) 468-1241
Registry dates
- Enumerated
- 2025-10-29
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.