| Sharon L Anderson, RD | |
|
110 E Wallace Ave, Coeur D Alene, ID 83814-2948 | |
| (208) 966-4512 | |
| Not Available |
| Full Name | Sharon L Anderson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 110 E Wallace Ave, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871810507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI60098714 (Washington) | Primary |
| Provider Name | Coeur Vitality Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316574700 PECOS PAC ID: 2365860343 Enrollment ID: O20200909000527 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon L Anderson, RD 110 E Wallace Ave, Coeur D Alene, ID 83814-2948 Ph: (208) 966-4512 | Sharon L Anderson, RD 110 E Wallace Ave, Coeur D Alene, ID 83814-2948 Ph: (208) 966-4512 |
Scott Geyer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Kimberley S Hall, DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963 | |
Leah Joy, R.D., IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1310 E Birch Ave, Coeur D Alene, ID 83814 Phone: 315-244-0677 | |
Amanda Ament, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 Fax: 844-807-3782 | |
Marsha A Jones, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963 | |
Katie J Adrian, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963 | |
Sarah Renee Nave, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr Ste 207, Coeur D Alene, ID 83814 Phone: 208-755-2804 Fax: 208-765-0277 |