Individual
MS. NICOLE NYERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
42 WILLOW CT, SOUTHINGTON, CT 06489-3344
(860) 681-3266
Mailing address
42 WILLOW CT, SOUTHINGTON, CT 06489-3344
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1919
CT
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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