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Individual

NIKOLA BACKIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN, LDN, CLC

Contact information

Practice address
150 SW SOUTH WAKEFIELD CIR, PORT ST LUCIE, FL 34953-5447
(772) 233-9754
Mailing address
150 SW SOUTH WAKEFIELD CIR, PORT ST LUCIE, FL 34953-5447
(772) 233-9754

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND12435
FL
174N00000X
Lactation Consultant (Non-RN)
ALPP-354436
MA

Other

Enumeration date
06/30/2025
Last updated
06/30/2025
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