Doctor Name: | MS. NICOLE CARSWELL |
NPI Number: | 1700134632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LD/N |
License Number: | ND5095 |
Business Practice Address: | 12902 Magnolia Drive Mod-c Nuther Tampa, FL - 33612 |
Business Phone Number: | 8137451078 |
Business Fax Number: | |
Mailing Address: | 212 Latitude Pl, APOLLO BEACH |
State: | FL |
Postal Code: | 335723392 |
Phone Number: | 5516550227 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2012 |
NPI Last Update Date: | 04/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND5095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |