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

Nourish Well Integrative Nutrition, LLC

Organization Nutritionist · NPI 1407724404

Nourish Well Integrative Nutrition, LLC is a Nutritionist in Herndon, Virginia. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
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

481 Carlisle Dr # D1
Herndon, VA 20170-4882
Phone: (703) 468-1241
Fax: (703) 468-1241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 Md Rt 3 S, Gambrills, MD 21054-1300 — (703) 468-1241

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1407724404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keren Dolan — Managing Member/ Clinical Director · (703) 468-1241
NPI enumeratedOctober 29, 2025
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address481 Carlisle Dr # D1, Herndon, VA 20170-4882

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