Kizitaff, Nicole Lynne

Kizitaff, Nicole Lynne is an sole proprietor health care provider with primary practice located at 126 Davis Ave , Mount Ephraim NJ 08059-1614. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kizitaff, Nicole Lynne can be contacted via phone (856) 655-8182.

Contact Information

Primary practice address
126 Davis Ave Mount Ephraim NJ 08059-1614
Phone: (856) 655-8182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1019387 Pennsylvania
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1019387 New Jersey

Profile Details

NPI number 1750655007
LBN Legal business name Kizitaff, Nicole Lynne
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2012
Last updated Mar 17th, 2018 - about 6 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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