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

Nicole Fuller

Individual provider Registered Dietitian · NPI 1922615210

Nicole Fuller is a Registered Dietitian in Glen Rock, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

11 Austin Pl
Glen Rock, NJ 07452-1701
Phone: (201) 739-9161
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Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1922615210
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 30, 2020
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020
Mailing address11 Austin Pl, Glen Rock, NJ 07452-1701

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