Individual
NICOLE CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCN, RDN, LDN
Contact information
Practice address
1523 EDGE HILL RD, ABINGTON, PA 19001-2609
(215) 961-7045
Mailing address
48 GALLANT FOX DR, MEDIA, PA 19063-5253
(484) 354-9377
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007637
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578229589
KLASIK FIT NUTRITION
PA
Enumeration date
12/19/2022
Last updated
12/19/2022
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