Individual
NICOLE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNT
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 219-7956
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1845-029
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
931842
CDR
WI
Enumeration date
07/18/2006
Last updated
05/14/2025
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