NPI 1295150738 · live from the CMS NPI Registry
Marisa Erickson, RD, LD
Dietitian, Registered in Caldwell, ID. National Provider Identifier 1295150738, active.
NPI record
| NPI | 1295150738 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 13307 Miami Ln, Caldwell, ID 83607 |
| Practice phone | 208-455-5335 |
| Enumerated | February 20, 2014 |
| Last updated | February 20, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-801 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.