Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NICOLE L TRACY, RD, LDN
Active Sole ProprietorPediatric Nutrition · NAPERVILLE, IL
Registration Details
- NPI Number
- 1154448199
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2007 (19.082528365928 yrs)
- Last Updated
- Feb 16, 2011
- License
-
164.002997 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1004 CHURCHILL DRNAPERVILLE, IL, 605632081Browse IL providers · Browse ZIP 60563
- Phone
- 6307761766
- Fax
- 6305485274
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in NAPERVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. SHUEFEN C DIMARCO | MPH, RD, CSP, CNSD | 1063664308 |
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.