Active NPIIndividual provider

Nicole Glick

Dietitian, Registered in Bristol, Connecticut

NPI Number1891417507
Practice location
25 Newell RD Ste C14, Bristol, CT 06010-5140
Fax
—
Last updated
September 19, 2022

Nicole Glick is a Dietitian, Registered based in Bristol, CT. Nicole Glick practices in Bristol, CT. The NPI Number for Nicole Glick is 1891417507 and holds a License No. 002225 (CT). The current practice location address for Nicole Glick is 25 Newell RD Ste C14, Bristol, CT 06010-5140 and can be reached out via phone at 850-845-8367.

Provider Profile Details

NPI Number
1891417507
Provider Name
Nicole Glick
Provider Entity Type
Individual
Gender
Female
Address
25 Newell RD Ste C14, Bristol, CT 06010-5140
Phone Number
850-845-8367
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
September 19, 2022
Last Update Date
September 19, 2022
Certification Date
September 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Newell RD Ste C14
Bristol, CT 06010-5140
Zip
06010-5140
Phone Number
850-845-8367
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
37 Fitch Ave
New London, CT 06320-5330
City
New London
State
CT
Zip
06320-5330
Phone Number
301-908-5761

License Information

License Number
002225
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Glick?

The NPI number of Nicole Glick is 1891417507. It was assigned on September 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Nicole Glick?

Nicole Glick is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 002225.

Where does Nicole Glick practice?

The practice location is 25 Newell RD Ste C14, Bristol, CT 06010-5140. The office can be reached at 850-845-8367 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891417507 directly on the NPPES registry website.

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