NPI 1871189902 · live from the CMS NPI Registry
Miranda Anspach, RD
Dietitian, Registered in Coeur D Alene, ID. National Provider Identifier 1871189902, active.
NPI record
| NPI | 1871189902 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2909 N 4th St Apt 16, Coeur D Alene, ID 83815 |
| Practice phone | 208-310-3136 |
| Enumerated | December 13, 2020 |
| Last updated | June 13, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-1113 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.