NPI 1891354783 · live from the CMS NPI Registry
Melanie Brower, RD, LD
Dietitian, Registered in Driggs, ID. National Provider Identifier 1891354783, active.
NPI record
| NPI | 1891354783 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 120 E Howard St, Driggs, ID 83422 |
| Practice phone | 208-569-8072 |
| Mailing address | Po Box 521, Sugar City, ID 83448 |
| Enumerated | June 13, 2019 |
| Last updated | June 13, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1004628 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.