Individual
MR. NICHOLAS ALBERT BERRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN, CD
Contact information
Practice address
10634 E RIVERSIDE DR STE 250, BOTHELL, WA 98011-3759
(425) 949-7626
(425) 949-5413
Mailing address
PO BOX 12242, SEATTLE, WA 98102-0242
(509) 528-5011
(425) 949-5413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
60863913
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033254115
—
WA
05
—
1669938536
—
WA
05
—
1891802146
—
WA
Enumeration date
05/23/2019
Last updated
06/11/2019
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