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Contact Information

PERSONAL NUTRITION & WELLNESS INC
4655 LANNON AVE NE
SAINT MICHAEL, MN55376-4613
 Phone: 763-300-4816
 Fax: 763-299-1002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for PERSONAL NUTRITION & WELLNESS INC

NPI Number 1013725340
LBN Legal business name PERSONAL NUTRITION & WELLNESS INC
Authorized official TIFFANY FLATEN - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2024
Last updated 10/17/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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