| Wellness Impact Nutrition, Llc | |
|
1013 E Winding Creek Dr, Suite 102, Eagle, ID 83616-7060 | |
| (208) 250-5657 | |
| (208) 433-9424 |
| Full Name | Wellness Impact Nutrition, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1013 E Winding Creek Dr, Eagle, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649660549 | NPI | - | NPPES |
| 1588936710 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D-682 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Impact Nutrition, Llc 3797 N Croft Way, Eagle, ID 83616-2265 Ph: (208) 250-5657 | Wellness Impact Nutrition, Llc 1013 E Winding Creek Dr, Suite 102, Eagle, ID 83616-7060 Ph: (208) 250-5657 |
Balanced Bites Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 803 S Short Ln, Eagle, ID 83616 Phone: 208-954-0862 Fax: 208-668-8871 | |
Mrs. Tracy Bento, RD, CDCES, CSOWM Dietitian Medicare: Medicare Enrolled Practice Location: 803 S Short Ln, Eagle, ID 83616 Phone: 208-954-0862 | |
Kirsten Ceily Thomas, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 951 E Plaza Dr Ste 110, Eagle, ID 83616 Phone: 208-274-9580 | |
Biyu Yang, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4727 W Maricopa Dr, Eagle, ID 83616 Phone: 949-698-8622 | |
Idaho Nutrition Associates, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1013 E Winding Creek Dr Ste 102, Eagle, ID 83616 Phone: 208-250-5657 | |
Maryanne Hartman Cunningham, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 735 W Watersford Dr, Eagle, ID 83616 Phone: 208-867-1763 | |
Deena M Lajoie, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3797 N Croft Way, Eagle, ID 83616 Phone: 208-250-5657 |