NPI 1083986061 · live from the CMS NPI Registry
Nicole C. Boling, R.D.
Dietitian, Registered in Sterling Heights, MI. National Provider Identifier 1083986061, active.
NPI record
| NPI | 1083986061 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 8301 Riverland Dr, Apt. 3, Sterling Heights, MI 48314 |
| Practice phone | 260-341-2313 |
| Enumerated | February 6, 2012 |
| Last updated | February 6, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1046212 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.