Provider Demographics
NPI:1063045045
Name:LINDEL, NICOLE BROOKE (RDN)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:BROOKE
Last Name:LINDEL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 MEADE ST APT 306
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3660
Mailing Address - Country:US
Mailing Address - Phone:720-450-7772
Mailing Address - Fax:888-820-9878
Practice Address - Street 1:1500 N GRANT ST # 5747
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-1859
Practice Address - Country:US
Practice Address - Phone:720-450-7772
Practice Address - Fax:888-820-9878
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86106838133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered