Amy Hanneke, RDN, LD | |
320 Ashland St., Apt. 1, Soda Springs, ID 83276-8327 | |
(314) 591-6429 | |
Not Available |
Full Name | Amy Hanneke |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 320 Ashland St., Soda Springs, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033638952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Amy Hanneke, RDN, LD 164 S. 5th St., Montpelier, ID 83254 Ph: (208) 847-1630 | Amy Hanneke, RDN, LD 320 Ashland St., Apt. 1, Soda Springs, ID 83276-8327 Ph: (314) 591-6429 |
Niki Mix, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 251 S 1st E, Soda Springs, ID 83276 Phone: 208-670-3071 | |
Sara Brown, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 911 Pioneer Dr, Soda Springs, ID 83276 Phone: 208-547-7630 |