Individual
MRS. NICOLE GILLIS SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Contact information
Practice address
217 GRANTHAM PL, WAXHAW, NC 28173-4301
(617) 529-4332
Mailing address
217 GRANTHAM PL, WAXHAW, NC 28173-4301
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
L006195
NC
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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