Nicole Ashley Weaver, MS, RD, LD

NPI #1558951780 in Ellsworth, Maine

Provider Information

NPI Number: 1558951780
Entity Type: Individual
Name: Nicole Ashley Weaver, MS, RD, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: MS, RD, LD
Enumeration Date: Jan 21, 2021
Last Updated: Jan 21, 2021

Practice Location

Address: 50 UNION ST
City: Ellsworth
State: Maine
ZIP Code: 04605-1534
Phone: (207) 664-5587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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