| Idaho Nutrition And Wellness Clinic | |
|
894 E Boise Ave, Boise, ID 83706-5122 | |
| (208) 789-9664 | |
| Not Available |
| Full Name | Idaho Nutrition And Wellness Clinic |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 894 E Boise Ave, Boise, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790287563 | NPI | - | NPPES |
| IDTPID011885 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Nutrition And Wellness Clinic 894 E Boise Ave, Boise, ID 83706-5122 Ph: (208) 813-6015 | Idaho Nutrition And Wellness Clinic 894 E Boise Ave, Boise, ID 83706-5122 Ph: (208) 789-9664 |
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 |