Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Nicole Kristina Derse, CNC

Individual provider Nutritionist · NPI 1073089934

MS. Nicole Kristina Derse, CNC is a Nutritionist in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

308 E Glendale Ave
Appleton, WI 54911-2907
Phone: (920) 322-5115
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence 12D577516 (WI)

Record details

NPI number1073089934
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNC
Sole proprietorNo
NPI enumeratedOctober 18, 2018
Last updated in NPPESOctober 18, 2018