NPI 1932773413 · live from the CMS NPI Registry
Sara Brown
Dietitian, Registered in Soda Springs, ID. National Provider Identifier 1932773413, active.
NPI record
| NPI | 1932773413 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 911 Pioneer Dr, Soda Springs, ID 83276 |
| Practice phone | 208-547-7630 |
| Enumerated | May 18, 2021 |
| Last updated | May 18, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-1255 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.