Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
NICOLE DEROSA
Active
Individual
NICOLE DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86077693
COMMISSION OF DIETETIC REGISTRATION
—
01
—
ND8682
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
02/13/2019
Last updated
02/13/2019
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