IndividualActive
David Nissen, NC
NPI 1194394510 · Nutrition Education Nutritionist · Lakewood, NJ
Provider details
- NPI number
- 1194394510
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Credential
- NC
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
2 Flannery Ave
Lakewood, NJ 08701-4750
Registry dates
- Enumerated
- 2021-06-21
- Last updated
- 2021-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.