Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NIKOLE LARSON, RD
Active Sole ProprietorMRS. NIKOLE LARSON, RD is a Renal Nutrition healthcare provider located in AUGUSTA, Georgia. NPI 1962826560 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · AUGUSTA, GA
Registration Details
- NPI Number
- 1962826560
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 18, 2014 (12.460066486968 yrs)
- Last Updated
- Feb 18, 2014
- Licenses
-
LD002687 (GA)825 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1719 MAGNOLIA WAYAUGUSTA, GA, 309099482Browse GA providers · Browse ZIP 30909
- Phone
- 7068254944
- Primary Specialty
-
Renal Nutrition
133VN1005X
- Additional Specialty
- Renal Nutrition
Other Renal Nutrition Providers in AUGUSTA, GA
| Name | Credential | NPI |
|---|---|---|
| MS. BEVERLY BRAY FORD | RD, LD | 1861695082 |
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.