Melanie Jeannette Nichol, R.D.

Individual provider Active NPI Registered Dietitian · Glenwood Springs, CO

NPI 1174975296 · NPPES record last updated Jul 13, 2016

Key facts

NPI
1174975296
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
832287 (CO)
Practice address
11 Deer Valley Dr
Glenwood Springs, CO 81601-9282
Phone
(970) 366-6017
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
832287COMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 832287 CO Yes

Addresses

Primary practice location

11 Deer Valley Dr
Glenwood Springs, CO 81601-9282

Mailing address

11 Deer Valley Dr
Glenwood Springs, CO 81601-9282
Phone (970) 366-6017

Other providers in Glenwood Springs, CO

All providers in Glenwood Springs, CO · Registered Dietitian in Colorado

Sources for this page

Verify at the official NPI Registry.