NPI 1851683056 · live from the CMS NPI Registry
Medina E Blanchet, RD
Dietitian, Registered in Boise, ID. National Provider Identifier 1851683056, active.
NPI record
| NPI | 1851683056 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 13900 W Wainwright Dr Ste 103, Boise, ID 83713 |
| Practice phone | 208-433-9424 |
| Mailing address | 12747 N 11th Ave, Boise, ID 83714 |
| Enumerated | May 5, 2011 |
| Last updated | September 7, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-741 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.