Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE BURKHALTER, RDN, CD, LD
Active Sole ProprietorNICOLE BURKHALTER, RDN, CD, LD is a Registered Dietitian healthcare provider located in REDGRANITE, Wisconsin. NPI 1861107088 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · REDGRANITE, WI
Registration Details
- NPI Number
- 1861107088
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2023 (3.5684692923746 yrs)
- Last Updated
- Feb 19, 2025
- License
-
86116816 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N2967 SHADOW CIRCLE DRREDGRANITE, WI, 549707257Browse WI providers · Browse ZIP 54970
- Phone
- 6086335154
- 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.