NPI 1306475314 · live from the CMS NPI Registry
Amber Bulcher, RDN, LD
Dietitian, Registered in Meridian, ID. National Provider Identifier 1306475314, active.
NPI record
| NPI | 1306475314 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2867 E Copper Point Dr, Meridian, ID 83642 |
| Practice phone | 208-401-9100 |
| Mailing address | 1010 S Phillippi St, Boise, ID 83705 |
| Enumerated | April 2, 2020 |
| Last updated | April 2, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-772 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.