NPI 1043837685 · live from the CMS NPI Registry
Amanda Ament, RDN
Dietitian, Registered in Coeur D Alene, ID. National Provider Identifier 1043837685, active.
NPI record
| NPI | 1043837685 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1090 W Park Pl, Coeur D Alene, ID 83814 |
| Practice phone | 208-215-2005 |
| Mailing address | Po Box 1387, Hayden, ID 83835 |
| Enumerated | June 30, 2020 |
| Last updated | August 25, 2021 |
| Sole proprietor | No |
| Other names | Amanda Marlette |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D813 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.