NPI 1659665545 · live from the CMS NPI Registry
Laura Margaret Boquette, R.D., CSR, L.D.
Dietitian, Registered, Nutrition, Pediatric in Boise, ID. National Provider Identifier 1659665545, active.
NPI record
| NPI | 1659665545 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Pediatric 133VN1004X |
| Practice location | 100 E Idaho St Ste 200, Boise, ID 83712 |
| Practice phone | 208-381-7081 |
| Mailing address | 5590 S Ulex Pl, Boise, ID 83716 |
| Enumerated | June 8, 2011 |
| Last updated | November 6, 2019 |
| Sole proprietor | No |
| Other names | Laura Anderson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Renal | 133VN1005X | D-315 (ID) |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | D-315 (ID) |
| Dietitian, Registered, Nutrition, Pediatric primary | 133VN1004X | D-315 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.