Individual
MIAH NICOLE GATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-5368
Mailing address
111 PARKVIEW DR APT 201, BRIDGEPORT, WV 26330-4569
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1873
WV
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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