Amber Marie Hise, RD is a
Dietitian, Registered based in Coleville, California. Amber Marie Hise is licensed to practice in Idaho (license number 1089658) and her current practice location is
71 Shetler Dr, Coleville, California. She can be reached at her office (for appointments etc.) via phone at
(208) 916-6233.
NPI number for Amber Marie Hise is 1508477027 and her current mailing address is 71 Shetler Dr, Coleville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508477027.
Healthcare Provider's Profile
| Full Name | Amber Marie Hise |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 71 Shetler Dr, Coleville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508477027
- Provider Enumeration Date: 08/10/2020
- Last Update Date: 08/10/2020
Medical Identifiers
Medical identifiers for Amber Marie Hise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508477027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1089658 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amber Marie Hise is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amber Marie Hise, RD
71 Shetler Dr,
Coleville, CA 96107-9758
Ph: (208) 916-6233 | Amber Marie Hise, RD
71 Shetler Dr,
Coleville, CA 96107-9758
Ph: (208) 916-6233 |
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