Provider Demographics
NPI:1467087775
Name:SEALS, NORA ISMAIL (RDN)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:ISMAIL
Last Name:SEALS
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 1:1261 BRANCHWATER LN
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2001
Mailing Address - Country:US
Mailing Address - Phone:205-643-2222
Mailing Address - Fax:
Practice Address - Street 1:1261 BRANCHWATER LN
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-2001
Practice Address - Country:US
Practice Address - Phone:205-643-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1668133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty