NPI 1922415249 · live from the CMS NPI Registry
Food Freedom Nutrition, LLC
Dietitian, Registered in Idaho Falls, ID. National Provider Identifier 1922415249, active.
NPI record
| NPI | 1922415249 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2235 East 25th Street Suite #280, Idaho Falls, ID 83404 |
| Practice phone | 208-538-9633 |
| Enumerated | July 18, 2014 |
| Last updated | March 10, 2020 |
| Authorized official | Chera Morris, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 84332024901 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.