Provider Demographics
NPI:1013225333
Name:PRICE, DEVON NICHOLE (RD, LD)
Entity Type:Individual
Prefix:MS
First Name:DEVON
Middle Name:NICHOLE
Last Name:PRICE
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:MS
Other - First Name:DEVON
Other - Middle Name:NICHOLE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD
Mailing Address - Street 1:10475 READING ROAD
Mailing Address - Street 2:STE. 117
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2500
Mailing Address - Country:US
Mailing Address - Phone:513-559-1222
Mailing Address - Fax:513-559-1235
Practice Address - Street 1:10475 READING ROAD
Practice Address - Street 2:STE. 117
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-2500
Practice Address - Country:US
Practice Address - Phone:513-559-1222
Practice Address - Fax:513-559-1235
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2280133V00000X
OHLD.10213133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered