| Nicole Grant, RD, CNSC | |
|
526 Via De La Valle Unit L, Solana Beach, CA 92075-2478 | |
| (831) 818-0020 | |
| Not Available |
| Full Name | Nicole Grant |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 526 Via De La Valle Unit L, Solana Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649743386 | NPI | - | NPPES |
| 86008771 | Other | RD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Grant, RD, CNSC 526 Via De La Valle Unit L, Solana Beach, CA 92075-2478 Ph: (831) 818-0020 | Nicole Grant, RD, CNSC 526 Via De La Valle Unit L, Solana Beach, CA 92075-2478 Ph: (831) 818-0020 |
Amber Marie Evans, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 932 Santa Queta, Solana Beach, CA 92075 Phone: 858-775-9471 | |
Vanessa J Stoyka, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 329 S Rios Ave, Solana Beach, CA 92075 Phone: 310-562-0844 | |
Katya Meyers, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 412 N Acacia Ave, Solana Beach, CA 92075 Phone: 858-829-6360 | |
Mrs. Danielle Lynn Dinorscia, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 930 Via Mil Cumbres, Unit 54, Solana Beach, CA 92075 Phone: 858-829-3931 |