Ms Nicole Sievers, RD CDE | |
4567 Hauaala Rd, Kapaa, HI 96746-1810 | |
(808) 634-9379 | |
(808) 468-9976 |
Full Name | Ms Nicole Sievers |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 4567 Hauaala Rd, Kapaa, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265471668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 00928138 (Washington) | Primary |
Provider Name | Kauai Medical Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540 |
Mailing Address | Practice Location Address |
---|---|
Ms Nicole Sievers, RD CDE 4567 Hauaala Rd, Kapaa, HI 96746-1810 Ph: (808) 634-9379 | Ms Nicole Sievers, RD CDE 4567 Hauaala Rd, Kapaa, HI 96746-1810 Ph: (808) 634-9379 |
Julianne Penner, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 301 Kihapai St, Kapaa, HI 96746 Phone: 808-977-0351 | |
Monica Moore, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4800 Kawaihau Rd, Kapaa, HI 96746 Phone: 808-631-5865 | |
Aniase Hope Carveiro Soltren, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 187 Hawaiiana St, Kapaa, HI 96746 Phone: 808-482-1844 |