NPI 1467093682 · live from the CMS NPI Registry
Stephanie Lynn Fisher, RDN, LD
Dietitian, Registered in Pocatello, ID. National Provider Identifier 1467093682, active.
NPI record
| NPI | 1467093682 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1066 Yellowstone Ave Apt 61, Pocatello, ID 83201 |
| Practice phone | 208-406-2209 |
| Mailing address | 1957 E 17th St, Idaho Falls, ID 83404 |
| Enumerated | September 30, 2019 |
| Last updated | September 30, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-1063 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.