| Doctor Name: | NICHOLLE KAREN BIRDSILL |
| NPI Number: | 1932486024 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CD |
| License Number: | 2412-29 |
| Business Practice Address: | S2845 White Eagle Rd Baraboo, WI - 539139064 |
| Business Phone Number: | 8885527889 |
| Business Fax Number: | 6083567152 |
| Mailing Address: | S2845 White Eagle Rd, BARABOO |
| State: | WI |
| Postal Code: | 539139064 |
| Phone Number: | 8885527889 |
| Fax Number: | 6083567152 |
| NPI Enumeration Date: | 11/03/2011 |
| NPI Last Update Date: | 12/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 2412-29 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| 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 |