Alyson Nielsen I, | |
1072 N Liberty St Ste 300, Boise, ID 83704-8708 | |
(208) 302-2300 | |
(208) 302-2355 |
Full Name | Alyson Nielsen I |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1072 N Liberty St Ste 300, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689349433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86071450 (Nebraska) | Secondary |
133V00000X | Dietitian, Registered | D-1260 (Idaho) | Primary |
Provider Name | Saint Alphonsus Medical Center Nampa Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659371870 PECOS PAC ID: 7113821026 Enrollment ID: O20031121000788 |
Provider Name | Saint Alphonsus Regional Medical Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
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Alyson Nielsen I, Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170 | Alyson Nielsen I, 1072 N Liberty St Ste 300, Boise, ID 83704-8708 Ph: (208) 302-2300 |
St Luke's Humphreys Diabetes Center Dietitian Medicare: Medicare Enrolled Practice Location: 1226 W River St, Boise, ID 83702 Phone: 208-331-1155 | |
Sav-on Pharmacy Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-395-3963 Fax: 623-336-6363 | |
Natalie Dawn Echanis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 S Broadway Ave Ste 505, Boise, ID 83706 Phone: 208-780-6254 | |
Rachael Tatko, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13900 W Wainwright Dr, Boise, ID 83713 Phone: 208-433-9424 | |
Daria T Pori, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1141 | |
Ms. Megan Marie Mcguffey, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1910 University Dr, Boise, ID 83725 Phone: 208-426-1459 | |
Rhonda L O'brien, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1414 W Franklin St, Boise, ID 83702 Phone: 208-342-2228 Fax: 208-343-0889 |