Mrs Diana M Nicolas, RD, CDE is a
Nutritionist - Nutrition, Education based in Albuquerque, New Mexico. Mrs Diana M Nicolas is licensed to practice in New Mexico (license number LD-1263) and her current practice location is
8300 Constitution Ave Ne Bld D, Albuquerque, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 559-6404.
NPI number for Mrs Diana M Nicolas is 1790257558 and her current mailing address is 4252 Trinity Pl Nw, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790257558.
Healthcare Provider's Profile
Full Name | Mrs Diana M Nicolas |
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Gender | Female |
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Speciality | Nutritionist - Nutrition, Education |
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Location | 8300 Constitution Ave Ne Bld D, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790257558
- Provider Enumeration Date: 12/18/2018
- Last Update Date: 01/14/2021
Medical Identifiers
Medical identifiers for Mrs Diana M Nicolas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790257558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD-1263 (New Mexico) | Secondary |
133NN1002X | Nutritionist - Nutrition, Education | LD-1263 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Diana M Nicolas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Diana M Nicolas, RD, CDE 4252 Trinity Pl Nw, Albuquerque, NM 87107 Ph: (505) 850-8430 | Mrs Diana M Nicolas, RD, CDE 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 Ph: (505) 559-6404 |
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