NPI 1740518604 · live from the CMS NPI Registry
Susan Marie Ashford Tucker, M.S., R.D.
Dietitian, Registered in Sandpoint, ID. National Provider Identifier 1740518604, active.
NPI record
| NPI | 1740518604 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1219 Elm St, Sandpoint, ID 83864 |
| Practice phone | 406-570-8019 |
| Enumerated | December 3, 2009 |
| Last updated | December 3, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 517257 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.