Provider Demographics
NPI:1033887526
Name:IF I KNEW THEN WHAT I KNOW NOW NUTRITION LLC
Entity type:Organization
Organization Name:IF I KNEW THEN WHAT I KNOW NOW NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:ABBAN
Authorized Official - Last Name:NKRUMAH
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, CDN
Authorized Official - Phone:619-301-0884
Mailing Address - Street 1:6518 QUEENS MIDTOWN EXPY APT 1
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-2460
Mailing Address - Country:US
Mailing Address - Phone:619-301-0884
Mailing Address - Fax:
Practice Address - Street 1:6518 QUEENS MIDTOWN EXPY APT 1
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-2460
Practice Address - Country:US
Practice Address - Phone:619-301-0884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty