| Doctor Name: | NICOLE H GOODRICH |
| NPI Number: | 1194966879 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD |
| License Number: | |
| Business Practice Address: | 20801 N Scottsdale Rd #205 Scottsdale, AZ - 85255 |
| Business Phone Number: | 6027707611 |
| Business Fax Number: | 4805053077 |
| Mailing Address: | 4904 S. Power Rd, #103-188 MESA |
| State: | AZ |
| Postal Code: | 85212 |
| Phone Number: | 6027707611 |
| Fax Number: | 4805053077 |
| NPI Enumeration Date: | 03/10/2009 |
| NPI Last Update Date: | 03/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |