IndividualActive
Nikole Larson, RD
NPI 1962826560 · Renal Nutrition Registered Dietitian · Augusta, GA
Provider details
- NPI number
- 1962826560
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- LD002687 (GA)
Mailing address
4536 Logans Way
Augusta, GA 30909-9141
Registry dates
- Enumerated
- 2014-02-18
- Last updated
- 2014-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.