Provider Demographics
NPI:1376925669
Name:TRAJKOVSKI, NIKOLA (RDN, LD)
Entity Type:Individual
Prefix:MR
First Name:NIKOLA
Middle Name:
Last Name:TRAJKOVSKI
Suffix:
Gender:M
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7281 W SAHARA AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2801
Mailing Address - Country:US
Mailing Address - Phone:702-525-1105
Mailing Address - Fax:
Practice Address - Street 1:7281 W SAHARA AVE STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2801
Practice Address - Country:US
Practice Address - Phone:702-525-1105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV38159DI-0133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered