| Abby Jan Wilson, RD, LD, CDE | |
|
957 Hospital Way Bldg D, Pocatello, ID 83201-5096 | |
| (208) 239-2070 | |
| Not Available |
| Full Name | Abby Jan Wilson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 957 Hospital Way Bldg D, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033544580 | NPI | - | NPPES |
| 1134168263 | Other | IA | HOSPITAL NPI# |
| 1790751055 | Other | ID | HOSPITAL NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 002152 (Iowa) | Secondary |
| 133V00000X | Dietitian, Registered | D-795 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Abby Jan Wilson, RD, LD, CDE 957 Hospital Way Bldg D, Pocatello, ID 83201-5096 Ph: (208) 239-2070 | Abby Jan Wilson, RD, LD, CDE 957 Hospital Way Bldg D, Pocatello, ID 83201-5096 Ph: (208) 239-2070 |
Mrs. Courtney Meyers, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 957 Hospital Way Bldg D, Pocatello, ID 83201 Phone: 208-239-2070 | |
L. Elaine Niebaur, RD,CSR, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1522 Sod Farm Rd, Pocatello, ID 83204 Phone: 208-637-1094 Fax: 208-637-0750 | |
Tiffany Topliff, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1684 Glacier St, Pocatello, ID 83201 Phone: 208-406-3557 | |
Mrs. Jessica Badaracco Griffel, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 990 Cesar Chavez Ave, Pocatello, ID 83209 Phone: 208-282-2330 | |
Mrs. Joanna Kelley Davidson, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 777 Hospital Way, Building A, Suite 201, Pocatello, ID 83201 Phone: 208-239-2737 Fax: 208-239-3778 | |
Callie Miller, MHS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1200 Holman Ave, Pocatello, ID 83201 Phone: 208-871-8755 Fax: 888-462-8913 |