Provider Demographics
NPI:1881723286
Name:BROWN, NICHOLAS ALDEN JR (RD, LDN)
Entity type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:ALDEN
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4709 KINGSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-5316
Mailing Address - Country:US
Mailing Address - Phone:336-339-0810
Mailing Address - Fax:
Practice Address - Street 1:4709 KINGSWOOD DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-5316
Practice Address - Country:US
Practice Address - Phone:336-292-3262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL001652133V00000X
174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No174H00000XOther Service ProvidersHealth Educator