Francine Ichim, MS, RD, LD

Individual provider Active NPI Registered Dietitian · Hoschton, GA

NPI 1558067173 · NPPES record last updated Mar 9, 2024

Key facts

NPI
1558067173
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
LD006292 (GA)
Practice address
1027 Arbor Lake Walk
Hoschton, GA 30548-3497
Phone
(949) 370-0173
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD006292GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish Family Nutrition Coaching, LLC Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD006292 GA Yes

Addresses

Primary practice location

1027 Arbor Lake Walk
Hoschton, GA 30548-3497

Mailing address

1027 Arbor Lake Walk
Hoschton, GA 30548-3497
Phone (949) 370-0173

Other names

  • Francine Olaires Other name

Other providers in Hoschton, GA

All providers in Hoschton, GA · Registered Dietitian in Georgia

Sources for this page

Verify at the official NPI Registry.