Individual
NICOLE MISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
(813) 974-4325
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND9476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UP6UO
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/11/2021
Last updated
10/18/2021
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