NPI 1861609588 · live from the CMS NPI Registry
Edna Faye Eby, Registered Dietician
Dietitian, Registered in Bonners Ferry, ID. National Provider Identifier 1861609588, active.
NPI record
| NPI | 1861609588 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 6640 Kaniksu St, Bonners Ferry, ID 83805 |
| Practice phone | 208-267-3141 |
| Enumerated | May 16, 2007 |
| Last updated | July 9, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-046 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.