Individual provider · Type 1 NPI

Nicole Wake, M.S., R.D.

Registered Dietitian · Norwich, NY

NPI number 1073990362 Active

Practice location

179 N Broad St
Norwich, NY 13815-1019

Call (607) 337-4812 Map

Fax (607) 337-4198

Mailing address

145 Co Rd 32A
Norwich, NY 13815

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X1019080 (NY)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1073990362

Nicole Wake, M.S., R.D.'s National Provider Identifier is 1073990362, issued on May 6, 2015. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Norwich, NY. The record was last updated on Jul 1, 2020.