Individual
NICOLE EILEEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
23213 PACIFIC HWY S, KENT, WA 98032-2721
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1021566
CA
133V00000X
Registered Dietitian
Primary
DI61104003
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447746953
—
WA
Enumeration date
07/09/2018
Last updated
02/14/2022
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