NPI 1578024345 · live from the CMS NPI Registry
Maryanne Hartman Cunningham, RDN
Dietitian, Registered in Eagle, ID. National Provider Identifier 1578024345, active.
NPI record
| NPI | 1578024345 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 735 W Watersford Dr, Eagle, ID 83616 |
| Practice phone | 208-867-1763 |
| Enumerated | March 26, 2019 |
| Last updated | March 26, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-802 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.