Individual
MRS. BETH ANN NICKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3930 W HANSEN RD, LUDINGTON, MI 49431-8603
(231) 845-6383
(231) 845-6383
Mailing address
3930 W HANSEN RD, LUDINGTON, MI 49431-8603
(231) 845-6383
(231) 845-6383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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