Individual
NICOLASA CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, DAHN, DFM, DTN
Contact information
Practice address
1250 SAVANNAH HWY, SYLVANIA, GA 30467-1002
(912) 541-5019
Mailing address
1250 SAVANNAH HWY, SYLVANIA, GA 30467-1002
(912) 541-5019
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
173C00000X
Reflexologist
—
—
175F00000X
Naturopath
Primary
—
—
175L00000X
Homeopath
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1231093282
NASM
—
Enumeration date
10/16/2023
Last updated
10/16/2023
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