Individual
NICOLE ANN BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNT
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 469-6884
(888) 363-3695
Mailing address
1012 LONES DR, PERRYSBURG, OH 43551-2332
(419) 356-7504
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4616
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0368346
—
OH
Enumeration date
07/19/2005
Last updated
01/31/2025
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