Individual
NANCY SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD L/DN
Contact information
Practice address
1915 BRIDGEPOINTE CIR UNIT 40, VERO BEACH, FL 32967-6849
(716) 861-5349
Mailing address
1915 BRIDGEPOINTE CIR UNIT 40, VERO BEACH, FL 32967-6849
(716) 861-5349
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2733-1
NY
133V00000X
Registered Dietitian
ND6471
FL
133VN1004X
Pediatric Nutrition Registered Dietitian
2733-1
NY
222Q00000X
Developmental Therapist
Primary
ND 6471
FL
Other
Enumeration date
09/13/2008
Last updated
11/04/2018
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