Provider Demographics
NPI:1316279870
Name:SCHILLINGER, NICOLE HELENE (RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:HELENE
Last Name:SCHILLINGER
Suffix:
Gender:F
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 1:1143 HAGUES MILL RD
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-6000
Mailing Address - Country:US
Mailing Address - Phone:215-888-0170
Mailing Address - Fax:
Practice Address - Street 1:1143 HAGUES MILL RD
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-6000
Practice Address - Country:US
Practice Address - Phone:215-888-0170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA922765133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered