MRS. JUDITH A NICHOLLS MBA NPI 1790017408

NPI Information

NPI: 1790017408
Provider Name: MRS. JUDITH A NICHOLLS, MBA
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
507 ROBERT M GRISSOM PKWY
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 448-4222
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MRS. Judith A Nicholls, MBA is a nutrition and education nutritionist in Myrtle Beach, SC. MRS. Judith A Nicholls, MBA NPI is 1790017408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

507 ROBERT M GRISSOM PKWY
MYRTLE BEACH, SC
ZIP 29577-576
Phone: (843) 448-4222

The enumeration date for this NPI number is 2/4/2010 and was last updated on 4/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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