Individual
MRS. DARLENE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4205 FOREST PARK AVE, DIV IM NEPHROLOGY, SAINT LOUIS, MO 63108-2810
(314) 286-0800
(314) 286-0855
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 286-0800
(314) 286-0855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001012154
MO
Other
Enumeration date
02/05/2016
Last updated
04/25/2024
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