Nicole G Carlson, RD, LD

NPI #1821707654 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1821707654
Entity Type: Individual
Name: Nicole G Carlson, RD, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, LD
Enumeration Date: Nov 21, 2022
Last Updated: Nov 21, 2022

Practice Location

Address: 2817 SUN TER
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-1861
Phone: (507) 525-5066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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