National Provider Identifier
Moreen N Nickerson, MS, RD
Moreen N Nickerson, MS, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in East Aurora, NY and a listed phone number of (716) 608-3110.
Profile Overview
- NPI
- 1679812663
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- February 11, 2013
- Last Updated
- February 11, 2013
Practice Location
- 574 Main St
- Suite 203
- East Aurora, NY 14052-1751
Phone: (716) 608-3110
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1679812663
- Entity Type
- Individual
- Last Name
- Nickerson
- First Name
- Moreen
- Middle Name
- N
- Credential
- MS, RD
- Mailing Street Address
- 574 Main St
- Mailing Address Line 2
- Suite 203
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052-1751
- Mailing Country
- US
- Mailing Phone
- (716) 608-3110
- Practice Street Address
- 574 Main St
- Practice Address Line 2
- Suite 203
- Practice City
- East Aurora
- Practice State
- NY
- Practice ZIP Code
- 14052-1751
- Practice Country
- US
- Practice Phone
- (716) 608-3110
- Enumeration Date
- February 11, 2013
- Last Updated
- February 11, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)