Individual provider · Type 1 NPI

Nicole L. Tracy, RD, LDN

Pediatric Nutrition Registered Dietitian · Naperville, IL

NPI number 1154448199 Active

Practice location

1004 Churchill Dr
Naperville, IL 60563-2081

Fax (630) 548-5274

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004X164.002997 (IL)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1154448199

Nicole L. Tracy, RD, LDN's National Provider Identifier is 1154448199, issued on Mar 23, 2007. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Naperville, IL. The record was last updated on Feb 16, 2011.