Nicole Grant, RD, CNSC | |
526 Via De La Valle Unit L, Solana Beach, CA 92075-2478 | |
(831) 818-0020 | |
Not Available |
Full Name | Nicole Grant |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 526 Via De La Valle Unit L, Solana Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649743386 | NPI | - | NPPES |
86008771 | Other | RD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
---|---|
Nicole Grant, RD, CNSC 526 Via De La Valle Unit L, Solana Beach, CA 92075-2478 Ph: (831) 818-0020 | Nicole Grant, RD, CNSC 526 Via De La Valle Unit L, Solana Beach, CA 92075-2478 Ph: (831) 818-0020 |
Amber Marie Evans, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 932 Santa Queta, Solana Beach, CA 92075 Phone: 858-775-9471 | |
Vanessa J Stoyka, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 329 S Rios Ave, Solana Beach, CA 92075 Phone: 310-562-0844 | |
Katya Meyers, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 412 N Acacia Ave, Solana Beach, CA 92075 Phone: 858-829-6360 | |
Mrs. Danielle Lynn Dinorscia, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 930 Via Mil Cumbres, Unit 54, Solana Beach, CA 92075 Phone: 858-829-3931 |