Individual
MRS. STEPHANIE S NICOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CDN
Contact information
Practice address
24 SALT POND RD STE H5, WAKEFIELD, RI 02879-4337
(401) 360-6477
(401) 522-6062
Mailing address
35 OLD FITCH HILL RD APT 9, UNCASVILLE, CT 06382-1000
(401) 363-2546
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86174930
RI
Other
Enumeration date
12/04/2020
Last updated
10/22/2022
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