Nicole Grace O'Brien, RD
Dietitian, Registered in New York, NY. Individual provider (NPI-1).
NPI number1245048784
StatusActive
Last updated in NPPESDec 30, 2024
Details
- NPI
- 1245048784
- Entity type
- Individual (NPI-1)
- Name
- Nicole Grace O'Brien
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 30, 2024
- Certification date
- Dec 29, 2024
- Last updated
- Dec 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
640 W 170th St Apt 3aNew York, NY 10032-3532
Phone 201-410-3233
Mailing address
640 W 170th St Apt 3aNew York, NY 10032-3532
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