Stephanie Carlson
Dietitian, Registered in Post Falls, ID. Individual provider (NPI-1).
NPI number1669936035
StatusActive
Last updated in NPPESJan 29, 2019
Details
- NPI
- 1669936035
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Carlson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2019
- Last updated
- Jan 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI60659113 | WA | Yes |
| 133V00000X | Dietitian, Registered | D920 | ID |
Practice location
5237 W Citruswood DrPost Falls, ID 83854-5198
Phone 208-819-5974
Mailing address
5237 W Citruswood DrPost Falls, ID 83854-5198
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Other Registered Dietitian providers in Post Falls, ID
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- Jessica Ann Galland, RDN, LDNPI 1689292054
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All 20 Registered Dietitian providers in Post Falls · All 945 providers in Post Falls
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