Provider Demographics
NPI:1598571044
Name:SOLEIM, NICOLE (RDN, LD, MS)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:SOLEIM
Suffix:
Gender:F
Credentials:RDN, LD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 W DALLAS ST APT 126
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-4075
Mailing Address - Country:US
Mailing Address - Phone:253-334-7869
Mailing Address - Fax:
Practice Address - Street 1:2900 W DALLAS ST APT 126
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-4075
Practice Address - Country:US
Practice Address - Phone:253-334-7869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86167972133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered