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Individual

MS. VICKIE L SPILLANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS RD CDE LDN

Contact information

Practice address
97 KNOLLWOOD DR, INTEGRATIVE NUTRITION CARE, CHERRY HILL, NJ 08002-1646
(856) 482-2629
Mailing address
97 KNOLLWOOD DR, INTEGRATIVE NUTRITION CARE, CHERRY HILL, NJ 08002-1646
(856) 482-2629

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
133NN1002X
Nutrition Education Nutritionist
Primary
133V00000X
Registered Dietitian

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1015277
AMERICAN SPECIALTY HEALTH
01
2168986
AETNA INDIVIDUAL
01
2168990
AETNA GROUP
01
5463516
AETNA EPOB
Enumeration date
03/05/2007
Last updated
09/11/2025
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