Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. NICOLE KRISTINA DERSE, CNC
ActiveMS. NICOLE KRISTINA DERSE, CNC is a Nutritionist healthcare provider located in APPLETON, Wisconsin. NPI 1073089934 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · APPLETON, WI
Registration Details
- NPI Number
- 1073089934
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2018 (7.8477118182055 yrs)
- Last Updated
- Oct 18, 2018
- License
-
12D577516 (WI)
Practice Information
- Address
-
308 E GLENDALE AVEAPPLETON, WI, 549112907Browse WI providers · Browse ZIP 54911
- Phone
- 9203225115
- Primary Specialty
-
Nutritionist
133N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.