Provider Demographics
NPI:1497091771
Name:ZAMANI, NICOLE (RD, CD-N)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:ZAMANI
Suffix:
Gender:F
Credentials:RD, CD-N
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:KARRAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CD-N
Mailing Address - Street 1:23 CHAUNCEY DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-1260
Mailing Address - Country:US
Mailing Address - Phone:203-482-0773
Mailing Address - Fax:
Practice Address - Street 1:590 MIDDLEBURY RD STE A
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-2563
Practice Address - Country:US
Practice Address - Phone:203-528-4718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-14
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered