Individual
NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4798
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4798
COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE
MA
01
—
86111354
COMMISSION ON DIETETIC REGISTRATION
—
01
—
LDN01016
STATE OF RHODE ISLAND
RI
Enumeration date
02/11/2020
Last updated
02/11/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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