NPI 1639541865

Nichole Wheatley, DTR

Practitioner Registered Dietetic Technician Saint Paul, MN

Practice location

Address: 2230 Como Ave, Saint Paul, MN 55108-1720
Phone: (651) 645-5323

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 806716 (MN)

Other Dietetic Technician, Registered providers in Minnesota →

Registry record

NPI: 1639541865
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2015
Record last updated: 27 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.