Theresa Renee Nickolaus, RD, LD, IBCLC
Theresa Renee Nickolaus, RD, LD, IBCLC is a Lactation Consultant (Non-RN) in Imperial, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
1011 Scenic Oaks CtImperial, MO 63052-3457
Phone: (314) 363-6186
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Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 2011041352 (MO) |
|---|---|
| Lactation Consultant (Non-RN) | Taxonomy 174N00000X · Licence L-124884 |
Record details
| NPI number | 1922774751 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RD , LD , IBCLC |
| Sole proprietor | Yes |
| NPI enumerated | August 20, 2021 |
| Last updated in NPPES | August 20, 2021 |
| Certification date | August 20, 2021 |
Other providers in Imperial
-
Mrs. Jodee Lamp, IBCLC, MS, NUTR
1624 Shane Dr, Imperial, MO 63052-4030 · (636) 461-0001