Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLE RUTH CORTEZ, RDN
Active Sole ProprietorPediatric Nutrition · CALDWELL, ID
Registration Details
- NPI Number
- 1235727975
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 7, 2021 (5.2875707697655 yrs)
- Last Updated
- Aug 24, 2025
- License
-
D-1214
- Sole Proprietor
- Yes
Practice Information
- Address
-
13622 BASCOM STCALDWELL, ID, 836079034Browse ID providers · Browse ZIP 83607
- Phone
- 2082669970
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
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.