Santonastaso, Nicole Dion

Santonastaso, Nicole Dion is an individual health care provider with primary practice located at 1920 E Cambridge Ave , Phoenix AZ 85006-1459. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Nursing Service Related Providers / Doula, Other Service Providers / Lactation Consultant, Non-RN, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Santonastaso, Nicole Dion can be contacted via phone (602) 933-0618.

Contact Information

Primary practice address
1920 E Cambridge Ave Phoenix AZ 85006-1459
Phone: (602) 933-0618
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X
Nursing Service Related Providers / Doula 374J00000X
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1396208625
LBN Legal business name Santonastaso, Nicole Dion
Credentials RDN, CLC, IBCLC, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2019
Last updated Aug 6th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396208625 NPPES
Arizona MEDICAID 529668

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