NPI 1922547892 · live from the CMS NPI Registry
Anne Brock, RDN, LD
Dietitian, Registered in Caldwell, ID. National Provider Identifier 1922547892, active.
NPI record
| NPI | 1922547892 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1906 Fairview Ave, Suite 440a, Caldwell, ID 83605 |
| Practice phone | 208-402-0636 |
| Enumerated | February 13, 2017 |
| Last updated | February 13, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86046804 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.