Nicole L Tracy in Naperville - Nutrition, Pediatric
Nicole L Tracy - NPI 1154448199
Nicole L Tracy is a Nutrition, Pediatric in Naperville, Illinois. Nicole L Tracy practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Nicole L Tracy is 1154448199. The last update date is 2011-02-16.
Nicole L Tracy's current location address is 1004 Churchill Dr, Naperville, Illinois. You can contact this provider via phone number 6307761766 and fax number 6305485274. The mailing address for Nicole L Tracy is 1004 Churchill Dr, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole L Tracy |
|---|---|
| Address | 1004 Churchill Dr, Naperville, Illinois |
| Phone Number | 6307761766 |
| Fax Number | 6305485274 |
| Sole Proprietor | Y |
| Credentials | RD, LDN |
NPI Number Detail
| NPI Number | 1154448199 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2011-02-16 |
Provider Mailing Address Detail
| Address | 1004 Churchill Dr |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605632081 |
| Phone Number | 6307761766 |
| Fax Number | 6305485274 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 164.002997 |
|
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nicole L Tracy by the Centers for Medicare & Medicaid Services?
The Nicole L Tracy has been assigned the NPI (National Provider Identifier) 1154448199 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Nicole L Tracy?
The Nicole L Tracy is physically situated at 1004 Churchill Dr, in the city of Naperville, state of IL, with the postal code 605632081.
What is Nicole L Tracy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nicole L Tracy is Nutrition, Pediatric, and the taxonomy code that categorizes this field of expertise is 133Vn1004X.
On what date did the Nicole L Tracy receive the assignment of its 1154448199 from the Centers for Medicare & Medicaid Services?
The Nicole L Tracy was issued its 1154448199 by the Centers for Medicare & Medicaid Services on 2007-03-23.
As of what date were the details related to Nicole L Tracy most recently updated or revised?
The information pertaining to Nicole L Tracy, including its address, specialty, and other relevant details, was last updated or revised on 2011-02-16.
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