Provider Demographics
NPI:1033959739
Name:DUNLAP, NICOLE EIRA (RDN)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:EIRA
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4840 GRANT AVE APT 206
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-1751
Mailing Address - Country:US
Mailing Address - Phone:607-542-6120
Mailing Address - Fax:
Practice Address - Street 1:4840 GRANT AVE APT 206
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-1751
Practice Address - Country:US
Practice Address - Phone:607-542-6120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered