NPI 1154579654 · live from the CMS NPI Registry
Julie Harker Buck, MHE, RD, CD, LCCE
Dietitian, Registered in Saint Anthony, ID. National Provider Identifier 1154579654, active.
NPI record
| NPI | 1154579654 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 310 N 7th E, Saint Anthony, ID 83445 |
| Practice phone | 208-313-0331 |
| Enumerated | September 9, 2008 |
| Last updated | September 9, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-195 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.