Annalisa Freire, RDN | |
3393 Merlin Dr Ste A, Idaho Falls, ID 83404-7490 | |
(208) 643-5343 | |
(405) 259-0767 |
Full Name | Annalisa Freire |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3393 Merlin Dr Ste A, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548848351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86118497 (* (Not Available)) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Annalisa Freire, RDN 3393 Merlin Dr Ste A, Idaho Falls, ID 83404-7490 Ph: (208) 643-5343 | Annalisa Freire, RDN 3393 Merlin Dr Ste A, Idaho Falls, ID 83404-7490 Ph: (208) 643-5343 |
Rebecca T Sulik, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2220 E 25th St, Idaho Falls, ID 83404 Phone: 208-523-1122 Fax: 208-523-2582 | |
Macey Renae Leatham, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1298 Idaho Ave Apt 1, Idaho Falls, ID 83402 Phone: 208-716-0244 | |
Luana Tomchak, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1957 E 17th St, Idaho Falls, ID 83404 Phone: 208-529-2352 Fax: 208-528-3332 | |
Kristine Rane, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6100 | |
Mrs. Laura Cheney Robinson, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6125 | |
Leslee Elyse Blanch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1542 E 73rd S, Idaho Falls, ID 83404 Phone: 208-529-1390 | |
Kristina Stickley, RDN, LD, CHES Dietitian Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 |