Derse, Nicole Kristina

Derse, Nicole Kristina is an individual health care provider with primary practice located at 308 E Glendale Ave , Appleton WI 54911-2907. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Derse, Nicole Kristina can be contacted via phone (920) 322-5115.

Contact Information

Primary practice address
308 E Glendale Ave Appleton WI 54911-2907
Phone: (920) 322-5115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 12D577516 Wisconsin

Profile Details

NPI number 1073089934
LBN Legal business name Derse, Nicole Kristina
Credentials CNC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2018
Last updated Oct 18th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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