Individual
SOPHIA MARIE NIKOLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
1501 S MADISON ST, APPLETON, WI 54915-1846
(920) 730-5423
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 730-5423
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5009-29
WI
Other
Enumeration date
08/24/2022
Last updated
07/09/2025
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