NPI 1306363478 · live from the CMS NPI Registry
Elizabeth Campbell, RDN, LD
Dietitian, Registered in Moscow, ID. National Provider Identifier 1306363478, active.
NPI record
| NPI | 1306363478 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 611 S. Main, Moscow, ID 83843 |
| Practice phone | 208-883-8262 |
| Mailing address | 2310 Nw Ridgeline Dr., Pullman, WA 99163 |
| Enumerated | August 29, 2017 |
| Last updated | July 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-973 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.