Individual
NIKKI LYNN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD CD
Contact information
Practice address
2701 N ONEIDA ST STE E, APPLETON, WI 54911-2082
(920) 997-8603
Mailing address
2701 N ONEIDA ST STE E, APPLETON, WI 54911-2082
(920) 749-1171
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1591-029
WI
Other
Enumeration date
02/21/2007
Last updated
05/06/2019
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