Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE WAKE, M.S., R.D.
Active Sole ProprietorNICOLE WAKE, M.S., R.D. is a Registered Dietitian healthcare provider located in NORWICH, New York. NPI 1073990362 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · NORWICH, NY
Registration Details
- NPI Number
- 1073990362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2015 (11.276705788472 yrs)
- Last Updated
- Jul 1, 2020
- License
-
1019080 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
179 N BROAD STNORWICH, NY, 138151019Browse NY providers · Browse ZIP 13815
- Phone
- 6073374812
- Fax
- 6073374198
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in NORWICH, NY
| Name | Credential | NPI |
|---|---|---|
| GAYLE L BREUILLY | RD | 1366636268 |
| MARCY GASTON | RD | 1548625643 |
| LINDSAY JAE SKIECHS | MS, RD | 1679092779 |
| JANICE MINUTTI | RD | 1154831295 |
| MADISON ROSE ZEITZ | — | 1760265250 |
| MARIANE DOMINGOS | RD | 1063375285 |
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.