Individual
NICHOLE RUTH CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
13622 BASCOM ST, CALDWELL, ID 83607-9034
(208) 266-9970
Mailing address
1000 MONTEREY WAY APT A3, LAWRENCE, KS 66049-4621
(224) 717-4388
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
D-1214
—
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
08/24/2025
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