OrganizationActive
Coastal Nutrition, LLC
NPI 1750694170 · Community Health Clinic/Center · Wilmington, NC
Provider details
- NPI number
- 1750694170
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Heidi Kaufman, Clinical Nutritionist(910) 762-9701
- License
- L000491 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1612 Doctors Cir
Wilmington, NC 28401-7406
Phone: (910) 762-9701
Fax: (910) 762-9705
Approximate (ZIP-level) locationGet directions
Mailing address
1612 Doctors Cir
Wilmington, NC 28401-7406
Registry dates
- Enumerated
- 2010-07-15
- Last updated
- 2010-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.