MEDICARE: NINA DE MOL VAN OTTERLOO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DT92890	TX

General Provider Information

NPI Number	:	1285573600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA DE MOL VAN OTTERLOO

Provider Business Mailing Address
First Line	:	3509 21ST STREET, 6TH FLOOR
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79410
Country	:	US
Telephone Number	:	806-725-4386
Fax Number	:

Provider Business Practice Location Address
First Line	:	3519 21ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79410
Country	:	US
Telephone Number	:	806-725-4386
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	04/23/2026

Similar Medicare Providers

1982549382 — MR. JUSTIN THETFORD MS, LPC-ASSOCIATE
Practice Location Address:

3112 33RD ST
LUBBOCK, TX
79410-3220

Practice Phone: 806-416-8467
Practice Fax:

1497983464 — DR. ANDRES FELIPE YEPES HURTADO MD
Practice Location Address:

3621 22ND ST STE 400
LUBBOCK, TX
79410-1302

Practice Phone: 806-791-8484
Practice Fax: 806-791-8498

1558552422 — MEDPLUS MEDICAL EQUIPMENT COMPANY, LLC
Practice Location Address:

3422 34TH ST
LUBBOCK, TX
79410-2830

Practice Phone: 806-797-1733
Practice Fax: 806-797-1697

1306780861 — HUB CITY FOOT AND ANKLE PLLC
Practice Location Address:

4002 22ND ST
LUBBOCK, TX
79410-1139

Practice Phone: 806-407-5129
Practice Fax: 806-407-5223

1881699262 — BILL NIKOLAOS MOSKOS M.D.
Practice Location Address:

4005 24TH ST
LUBBOCK, TX
79410-1835

Practice Phone: 806-792-2767
Practice Fax: 806-791-6709

1467491837 — NEUROSURGICAL ASSOCIATES, PLLC
Practice Location Address:

3419 22ND ST
LUBBOCK, TX
79410-1334

Practice Phone: 806-796-3000
Practice Fax: 806-796-3006

Directions to “ NINA DE MOL VAN OTTERLOO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.