OrganizationActive
Tidewater Nutrition & Wellness LLC
NPI 1720638992 · Nutritionist · Portland, ME
Provider details
- NPI number
- 1720638992
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Kristine Taylor, Registered Dietitian/Owner(207) 358-0154
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
52 Cove St
Portland, ME 04101-2514
Phone: (207) 358-0154
Approximate (ZIP-level) locationGet directions
Mailing address
52 Cove St
Portland, ME 04101-2514
Registry dates
- Enumerated
- 2019-09-18
- Last updated
- 2019-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.