NPI 1306241815 · live from the CMS NPI Registry
Natalie M Colla, RD
Dietitian, Registered in Hayden, ID. National Provider Identifier 1306241815, active.
NPI record
| NPI | 1306241815 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 8500 N Atlas Rd, Hayden, ID 83835 |
| Practice phone | 208-415-5293 |
| Mailing address | Po Box 3482, Post Falls, ID 83877 |
| Enumerated | October 27, 2014 |
| Last updated | October 1, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D838 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.