Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON L NICHOLS, RD, CSSD
Active Sole ProprietorBRANDON L NICHOLS, RD, CSSD is a Registered Dietitian healthcare provider located in HEREFORD, Arizona. NPI 1093160970 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · HEREFORD, AZ
Registration Details
- NPI Number
- 1093160970
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2016 (10.341752846291 yrs)
- Last Updated
- Apr 28, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
9005 S BRYERLY CTHEREFORD, AZ, 856158419Browse AZ providers · Browse ZIP 85615
- Phone
- 5202491599
- Primary Specialty
-
Registered Dietitian
133V00000X
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.