Individual
MS. SUSAN AMY NOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RDN LDN
Contact information
Practice address
22539 MERIDIANA DR, BOCA RATON, FL 33433-6312
(561) 585-8690
Mailing address
22539 MERIDIANA DR, BOCA RATON, FL 33433-6312
(561) 285-8690
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
ND6846
FL
133V00000X
Registered Dietitian
Primary
ND6846
FL
133VN1101X
Gerontological Nutrition Registered Dietitian
ND6846
FL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
ND6846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND6846
MEDICAL NUTRITION THERAPY
FL
05
—
ND6846
—
FL
Enumeration date
08/02/2022
Last updated
08/02/2022
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