Provider Demographics
NPI:1396470639
Name:CALAMIA, NICOLE (NTP)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:CALAMIA
Suffix:
Gender:F
Credentials:NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 W HUNTER CT
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-2777
Mailing Address - Country:US
Mailing Address - Phone:602-214-4094
Mailing Address - Fax:
Practice Address - Street 1:2410 W HUNTER CT
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-2777
Practice Address - Country:US
Practice Address - Phone:602-214-4094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist