Provider Demographics
NPI:1871363887
Name:WHITNEY HELTON NUTRITION AND WELLNESS, LLC
Entity type:Organization
Organization Name:WHITNEY HELTON NUTRITION AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HELTON
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:812-766-3355
Mailing Address - Street 1:3005 ROSS DR APT T2
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1165
Mailing Address - Country:US
Mailing Address - Phone:812-766-3355
Mailing Address - Fax:
Practice Address - Street 1:3005 ROSS DR APT T2
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1165
Practice Address - Country:US
Practice Address - Phone:812-766-3355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization