Individual
LAURA NICOLE ZILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
298 OREGON ST, YPSILANTI, MI 48198-6034
(505) 317-7580
Mailing address
4524 ROCKAWAY LOOP NE, RIO RANCHO, NM 87124-4698
(480) 580-4472
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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