Wellformed AI

NPI 1497438543 · live from the CMS NPI Registry

Elizabeth Anne Anderson, RDN

Dietitian, Registered, Nutrition, Obesity and Weight Management in Boise, ID. National Provider Identifier 1497438543, active.

NPI record

NPI1497438543 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered, Nutrition, Obesity and Weight Management 133VN1201X
Practice location901 N Curtis Rd Ste 403, Boise, ID 83706
Practice phone208-367-7335
Mailing addressPo Box 190930, Boise, ID 83719
EnumeratedAugust 7, 2023
Last updatedSeptember 1, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered, Nutrition, Obesity and Weight Management primary133VN1201XD-804 (ID)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.