Individual provider · Type 1 NPI
Theresa Renee Nickolaus, RD, LD, IBCLC
Registered Dietitian · Imperial, MO
Practice location
1011 Scenic Oaks Ct
Imperial, MO 63052-3457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-124884 |
| Registered Dietitian Primary | 133V00000X | 2011041352 (MO) |
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…
Other registered dietitian providers in Imperial
About NPI 1922774751
Theresa Renee Nickolaus, RD, LD, IBCLC's National Provider Identifier is 1922774751, issued on Aug 20, 2021. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Imperial, MO. The record was last updated on Aug 20, 2021.