Individual
MRS. KATISHA SCHNAE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D
Contact information
Practice address
10 W PINEHURST CIR APT 202, GLENDALE HEIGHTS, IL 60139-3629
(630) 550-2331
(630) 517-8942
Mailing address
1345 BIG HORN TRL, CAROL STREAM, IL 60188-9075
(630) 550-2331
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
Other
Enumeration date
04/10/2008
Last updated
03/13/2020
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