Individual
NICOLE FAMULARO GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDCES
Contact information
Practice address
14 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 213-4636
Mailing address
14 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1079777
VA
133V00000X
Registered Dietitian
Primary
DT86643
TX
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
09/29/2016
Last updated
02/05/2026
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