Individual provider · Type 1 NPI

Nicole Theriault, RD, LD

Registered Dietitian · Presque Isle, ME

NPI number 1962593665 Active

Practice location

140 Academy St
Presque Isle, ME 04769-3102

Mailing address

39 Echo Lake Rd
Presque Isle, ME 04769-5252

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XD1710 (ME)

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 1962593665

Nicole Theriault, RD, LD's National Provider Identifier is 1962593665, issued on Sep 27, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Presque Isle, ME. The record was last updated on Jun 3, 2026.