Individual
NICHOLAS KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH
Contact information
Practice address
2030 E BROADWAY BLVD STE 113, TUCSON, AZ 85719-5908
(520) 343-1238
Mailing address
4512 W HOLLY BERRY WAY, TUCSON, AZ 85741-4087
(520) 343-1238
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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