IndividualActive
Nicole White, RD, CSSD, LDN
NPI 1104230192 · Sports Dietetics Nutrition Registered Dietitian · Hurlburt Field, FL
Provider details
- NPI number
- 1104230192
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CSSD, LDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 164006212 (IL)
Practice location
100 Servais Way
Rm 210
Hurlburt Field, FL 32544
Phone: (850) 884-4661
Mailing address
2004 98 Palms Blvd Unit 4312
Destin, FL 32541-2778
Registry dates
- Enumerated
- 2014-06-17
- Last updated
- 2022-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.