| NPI | 1174139679 |
|---|---|
| Doing Business As | NUSPARKLE NUTRITION |
| Entity Type | Organization |
| Authorized Contact | EMILY ROSE CONYERS Owner/CEO 904-497-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist Nutrition, Education | |
| 133VN1005X Dietitian, Registered Nutrition, Renal | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic | |
| 133VN1101X Dietitian, Registered Nutrition, Gerontological | |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
| 133VN1301X Dietitian, Registered Nutrition, Oncology | |
| 133VN1501X Dietitian, Registered Nutrition, Sports Dietetics | |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2023-11-12 |