NPI 1558761601 · live from the CMS NPI Registry
Marie Bailey-Dabney, RD, LD, CNSC
Dietitian, Registered, Nutrition, Pediatric in Boise, ID. National Provider Identifier 1558761601, active.
NPI record
| NPI | 1558761601 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Pediatric 133VN1004X |
| Practice location | 190 E Bannock St, Boise, ID 83712 |
| Practice phone | 208-381-4676 |
| Enumerated | August 26, 2014 |
| Last updated | March 7, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Pediatric primary | 133VN1004X | D-404 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.