Individual
MRS. BRENDA LIANNE NICHOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CDE,LDN
Contact information
Practice address
911 E BRADY ST, BUTLER, PA 16001-4646
(724) 477-3049
(724) 284-4292
Mailing address
204 OCTOBER DR, BUTLER, PA 16002-7552
(724) 287-0280
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001434
PA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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