National Provider Identifier

Nicole L Moretta, MS, RDN

Nicole L Moretta, MS, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Orchard Park, NY and a listed phone number of (716) 662-7008.

NPI 1639628811Orchard Park, NYRegistered Dietitian

Profile Overview

NPI
1639628811
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
September 28, 2016
Last Updated
September 28, 2016

Practice Location

  • 3671 Southwestern Blvd.
  • St 101
  • Orchard Park, NY 14127

Phone: (716) 662-7008

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1639628811
Entity Type
Individual
Last Name
Moretta
First Name
Nicole
Middle Name
L
Name Prefix
Mrs.
Credential
MS, RDN
Mailing Street Address
3671 Southwestern Blvd.
Mailing Address Line 2
St 101
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127
Mailing Country
US
Mailing Phone
(716) 662-7008
Mailing Fax
(716) 662-5226
Practice Street Address
3671 Southwestern Blvd.
Practice Address Line 2
St 101
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127
Practice Country
US
Practice Phone
(716) 662-7008
Practice Fax
(716) 662-5226
Enumeration Date
September 28, 2016
Last Updated
September 28, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)