Provider Demographics
NPI:1437913589
Name:SAYD, NICOLE ROSY (RD)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:ROSY
Last Name:SAYD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11352 SADDLE COVE LN
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-6954
Mailing Address - Country:US
Mailing Address - Phone:619-565-9939
Mailing Address - Fax:
Practice Address - Street 1:11352 SADDLE COVE LN
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-6954
Practice Address - Country:US
Practice Address - Phone:619-565-9939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAY3659815133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered