Provider Demographics
NPI:1447606108
Name:NEW LEAF NUTRITION,LLC
Entity type:Organization
Organization Name:NEW LEAF NUTRITION,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,MS,RDN,LD,CLT
Authorized Official - Phone:614-557-3939
Mailing Address - Street 1:180 HULL CT
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-3707
Mailing Address - Country:US
Mailing Address - Phone:614-557-3939
Mailing Address - Fax:740-417-4768
Practice Address - Street 1:180 HULL CT
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-3707
Practice Address - Country:US
Practice Address - Phone:614-557-3939
Practice Address - Fax:740-417-4768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty