NPI 1558035816 · live from the CMS NPI Registry
Chanel Drucker
Dietitian, Registered in Meridian, ID. National Provider Identifier 1558035816, active.
NPI record
| NPI | 1558035816 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2960 E. St. Luke'S Street Suite 200, Meridian, ID 83642 |
| Practice phone | 208-378-4264 |
| Enumerated | August 2, 2021 |
| Last updated | November 4, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-1288 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.