NPI 1740970250 · live from the CMS NPI Registry
Alexis Blaser, MS, RDN, LD
Dietitian, Registered in Driggs, ID. National Provider Identifier 1740970250, active.
NPI record
| NPI | 1740970250 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 120 E Howard St, Driggs, ID 83422 |
| Practice phone | 208-354-6317 |
| Enumerated | May 9, 2023 |
| Last updated | May 9, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-1478 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.