Provider Demographics
NPI:1871235739
Name:SZPYHULSKY, NADIA (RD)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:SZPYHULSKY
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 1:28363 CAPTIVA SHELL LOOP
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-9064
Mailing Address - Country:US
Mailing Address - Phone:908-377-6593
Mailing Address - Fax:
Practice Address - Street 1:28363 CAPTIVA SHELL LOOP
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-9064
Practice Address - Country:US
Practice Address - Phone:908-377-6593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND9264133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered