| Doctor Name: | MRS. NIKOLE SUZANNE BARRETT |
| NPI Number: | 1114129046 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D.N., C.D. |
| License Number: | 37001744A |
| Business Practice Address: | 229 E Omer Ave Mishawaka, IN - 465456345 |
| Business Phone Number: | 5742178372 |
| Business Fax Number: | |
| Mailing Address: | 229 E Omer Ave, MISHAWAKA |
| State: | IN |
| Postal Code: | 465456345 |
| Phone Number: | 5742178372 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2007 |
| NPI Last Update Date: | 07/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1005X |
| License Number: | 37001744A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Renal |
| Taxonomy Definition: | |