Nicole Andres, R.D.
Individual provider Active NPI Registered Dietitian · Clovis, CA
NPI 1679025704 · NPPES record last updated Oct 24, 2016
Key facts
- NPI
- 1679025704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 00953806 (CA)
- Practice address
- 363 N Raphael LN
Clovis, CA 93611-6191 - Phone
- (559) 835-4011
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 00953806 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00953806 | CA | Yes |
Addresses
Primary practice location
363 N Raphael LN
Clovis, CA 93611-6191
Mailing address
363 N Raphael LN
Clovis, CA 93611-6191
Phone (559) 835-4011
Other names
- Mrs. Nikki Andres
Other providers in Clovis, CA
- Bethany Anderson
- Eric Michael Anderson
- Matthew Stephen Anderson
- Sarah Marie Anderson
- Ruth Andrade
- Julie Andress
- Carlota Andrews
- Benjamin Angeles
- Animal Chiropractic Group, Inc.
- Anjaleoni Enterprises Inc
All providers in Clovis, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2016. 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.