Wellformed AI

NPI 1811226582 · live from the CMS NPI Registry

Nicole Renee Anderson, R.D.

Dietitian, Registered in Sparks, NV. National Provider Identifier 1811226582, active.

NPI record

NPI1811226582 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location1855 Baring Blvd Apt 610, Sparks, NV 89434
Practice phone916-704-0049
EnumeratedDecember 9, 2009
Last updatedApril 27, 2015
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.