SAGE WISDOM NUTRITION LLC NPI 1386029858

NPI Information

NPI: 1386029858
Provider Name: SAGE WISDOM NUTRITION LLC
Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

Address:
1019 PACIFIC AVE
SUITE 801
TACOMA, WA
ZIP 98402
Phone: (253) 254-6945
Get Directions

SAGE WISDOM NUTRITION LLC is a nutrition and education nutritionist in Tacoma, WA. SAGE WISDOM NUTRITION LLC NPI is 1386029858. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1019 PACIFIC AVE
SUITE 801
TACOMA, WA
ZIP 98402-443
Phone: (253) 254-6945

The provider's authorized official is Sophia L Tasler .
The authorized official title is Provider/owner and has the following contact phone number (253) 951-4820.

The enumeration date for this NPI number is 7/27/2015 and was last updated on 7/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education	DI60417979	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DI60417979	OTHER	WASHINGTON	LICENSE NO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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