Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boundless Nutrition LLC

Organization Clinic/Center · NPI 1033828694

Boundless Nutrition LLC is a Clinic/Center in Fairfax, Virginia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13112 Moss Ranch Ln
Fairfax, VA 22033-3524
Phone: (703) 705-2720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1033828694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miriam Eackloff — Owner · (703) 705-2720
NPI enumeratedNovember 22, 2022
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022
Mailing address13112 Moss Ranch Ln, Fairfax, VA 22033-3524

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