Individual
CAROLINE GRACE NUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCN, RD, LD
Contact information
Practice address
2001 INWOOD RD, DALLAS, TX 75390-7202
(214) 728-6033
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT85655
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
11/15/2018
Last updated
12/10/2018
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