Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE KATHERINE WHITE, RD, CSSD, LDN
Active Sole ProprietorSports Dietetics · HURLBURT FIELD, FL
Registration Details
- NPI Number
- 1104230192
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2014 (11.847354809096 yrs)
- Last Updated
- Jun 10, 2022
- Licenses
-
164006212 (IL)084432 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 SERVAIS WAYRM 210HURLBURT FIELD, FL, 32544Browse FL providers · Browse ZIP 32544
- Phone
- 8508844661
- Primary Specialty
-
Sports Dietetics
133VN1501X
- Additional Specialty
- Sports Dietetics
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.