NPI 1245568526 · live from the CMS NPI Registry
Jennifer C Buker, RD
Dietitian, Registered in Boise, ID. National Provider Identifier 1245568526, active.
NPI record
| NPI | 1245568526 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3314 E Exacta Ln, Boise, ID 83716 |
| Practice phone | 208-994-9739 |
| Enumerated | November 25, 2009 |
| Last updated | May 5, 2022 |
| Sole proprietor | No |
| Other names | Jennifer Wadner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 974093 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.