Provider Demographics
NPI:1114607223
Name:ZARATE, NICHOLAS (RD)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:ZARATE
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 N CORTARO RD APT 16204
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-7845
Mailing Address - Country:US
Mailing Address - Phone:757-377-0984
Mailing Address - Fax:
Practice Address - Street 1:7901 N CORTARO RD APT 16204
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-7845
Practice Address - Country:US
Practice Address - Phone:757-377-0984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered