Individual
STEPHANIE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
2708 W PRICE AVE, TAMPA, FL 33611-3834
(813) 712-0981
Mailing address
2708 W PRICE AVE, TAMPA, FL 33611-3834
(813) 712-0981
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01020954
FL
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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