Mrs. Nicole Marie Clark, MSRD
Mrs. Nicole Marie Clark, MSRD is a Dietary Manager in Warren, Pennsylvania. Licensed in New York. Registered with an NPI since 2009.
- Licensed in
- NY
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
2 Crescent Park West Nutrition ServicesWarren, PA 16365
Phone: (814) 723-4973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 1004345 (NY) |
|---|---|
| Dietary Manager | Taxonomy 132700000X |
Record details
| NPI number | 1720312820 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSRD |
| Sole proprietor | No |
| NPI enumerated | September 23, 2009 |
| Last updated in NPPES | September 23, 2009 |