Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE E GOLLY
ActiveNutrition, Education · HIGH ROLLS MOUNTAIN PARK, NM
Registration Details
- NPI Number
- 1306714548
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2025 (0.52472683672958 yrs)
- Last Updated
- Oct 28, 2025
Practice Information
- Address
-
76 PINE VALLEY DRHIGH ROLLS MOUNTAIN PARK, NM, 883259068Browse NM providers · Browse ZIP 88325
- Phone
- 9284211246
- Primary Specialty
-
Nutrition, Education
133NN1002X
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.