Individual
NICOLE BURKHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CD, LD
Contact information
Practice address
N2967 SHADOW CIRCLE DR, REDGRANITE, WI 54970-7257
(608) 633-5154
Mailing address
N2967 SHADOW CIRCLE DR, REDGRANITE, WI 54970-7257
(608) 633-5154
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86116816
WI
Other
Enumeration date
01/23/2023
Last updated
02/19/2025
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