COASTAL NUTRITION, LLC
NPI 1750694170
Clinic/Center - Community Health in Wilmington, NC

Active since July 15, 2010
1612 DOCTORS CIR, WILMINGTON, NC 28401(910) 762-9701(910) 762-9705 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Coastal Nutrition, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL NUTRITION, LLC (NPI 1750694170) is a healthcare organization registered as a community health in Wilmington, North Carolina and active in the NPI registry since July 2010. The organization lists Heidi Lynn Kaufman, Clinical Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1750694170
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCOASTAL NUTRITION, LLC
Location Address1612 DOCTORS CIRWilmington, NC 28401-7406
Mailing Address1612 Doctors CirWilmington, NC 28401-7406 · (910) 762-9701 · Fax (910) 762-9705
Fax(910) 762-9705
Organization SubpartNo
Authorized OfficialHeidi Lynn KaufmanClinical Nutritionist · (910) 762-9701
Enumeration DateJuly 15, 2010
NPI 1750694170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License Licensed in NC · L000491
1612 DOCTORS CIR, Wilmington, NC 28401

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1612 DOCTORS CIR
WILMINGTON, NC 28401
Home Health
1612 DOCTORS CIR
WILMINGTON, NC 28401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750694170, enumerated as an "organization" on July 15, 2010.

The provider is located at 1612 DOCTORS CIR WILMINGTON, NC 28401 and the phone number is (910) 762-9701.

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.