Individual provider · Type 1 NPI

Nicole J. Gordon, HHC, CT

Nutrition Education Nutritionist · Columbia, MD

NPI number 1912264342 Active

Practice location

10440 Shaker Dr, Suite 105
Columbia, MD 21046-1200

Mailing address

1801 Rambling Ridge Ln, Apt 302
Baltimore, MD 21209-1229

Specialties and licenses

TaxonomyCodeLicense
Nutrition Education Nutritionist Primary 133NN1002XNone listed

Nutrition Education Nutritionist: Definition to come...

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About NPI 1912264342

Nicole J. Gordon, HHC, CT's National Provider Identifier is 1912264342, issued on Apr 23, 2012. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Columbia, MD. The record was last updated on Apr 23, 2012.