Nicole Eastman
Individual provider Active NPI Registered Dietitian · Berlin, NH
NPI 1508027384 · NPPES record last updated Jun 24, 2008
Key facts
- NPI
- 1508027384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 398 (NH)
- Practice address
- 133 Pleasant St
Berlin, NH 03570-2006 - Phone
- (603) 752-2040
- Fax
- (603) 752-7797
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 398 | NH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coos County Family Health Services, Inc | Dietitian, Registered | Past | Accepting new patients |
| Coos County Family Health Services, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 398 | NH | Yes |
Addresses
Primary practice location
133 Pleasant St
Berlin, NH 03570-2006
Mailing address
54 Willow St
Berlin, NH 03570-2084
Phone (603) 752-3669
Other providers in Berlin, NH
- Dr Eugene M Kruysman
- Stephen Anthony Druke
- Kelly Marie Dube
- Lisa Duchesne
- Amanda Dustin
- Raina C Eaton
- Rhonda A Edwards
- Norine Elliott
- Chelsea R Endres
- Beatrice Claudia Engstrand
All providers in Berlin, NH · Registered Dietitian in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.