NPI 1154024321 · live from the CMS NPI Registry
Leslee Elyse Blanch, RD
Dietitian, Registered in Idaho Falls, ID. National Provider Identifier 1154024321, active.
NPI record
| NPI | 1154024321 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1542 E 73rd S, Idaho Falls, ID 83404 |
| Practice phone | 208-529-1390 |
| Enumerated | March 24, 2023 |
| Last updated | March 24, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-944 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.