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.
Source: public NPPES record, last updated February 11, 2013. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
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)
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Biography
Moreen N. Nickerson, MS, RD, is a registered dietitian in East Aurora affiliated with Blue Circle Dietetics & Nutrition PC. Her public Medicare profile lists her training at the State University of New York at Buffalo School of Medicine, graduation in 2012, and more than 14 years of dietetics experience.
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)