| Doctor Name: | NATALIE NICOLAS |
| NPI Number: | 1639461908 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LDN |
| License Number: | DX3014 |
| Business Practice Address: | 1500 Forest Glen Rd Food And Nutrition Silver Spring, MD - 209101483 |
| Business Phone Number: | 3017547848 |
| Business Fax Number: | |
| Mailing Address: | 12207 Stardrift Dr, GERMANTOWN |
| State: | MD |
| Postal Code: | 208765918 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2011 |
| NPI Last Update Date: | 02/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DX3014 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| 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 |