Individual
NICOLE FEDERICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
23 SUNNYBROOK RD STE 316, RALEIGH, NC 27610-1874
(919) 350-6002
Mailing address
1211 RIDGE TRACE DRIVE, APT. 102, BUILDING 16, RALEIGH, NC 27606
(973) 487-6286
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L007081
NC
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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