Individual
NICOLE L MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
25 PRAY ST, AMHERST, MA 01002-2110
(917) 626-1027
(413) 707-1027
Mailing address
3 PHILLIPS PL, HADLEY, MA 01035-3515
(917) 626-1027
(413) 707-1027
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2910
MA
133V00000X
Registered Dietitian
998049
NC
133V00000X
Registered Dietitian
998049
VT
133V00000X
Registered Dietitian
L004854
NC
Other
Enumeration date
09/15/2011
Last updated
07/24/2023
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