Organization
WORKSITE WELLNESS NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE LYN HALLISSEY MS, RDN, CDN (OWNER)
(201) 264-2251
Entity
Organization
Contact information
Practice address
7 BROOK ST, MAHWAH, NJ 07430-1103
(201) 264-2251
Mailing address
45 E END AVE APT 4D, NEW YORK, NY 10028-7980
(201) 264-2251
(347) 348-0734
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/26/2020
Last updated
03/12/2024
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