Danielle Nebeker, R.D., L.D.
Dietitian, Registered in Boise, ID. Individual provider (NPI-1).
NPI number1699166306
StatusActive
Last updated in NPPESOct 20, 2023
Details
- NPI
- 1699166306
- Entity type
- Individual (NPI-1)
- Name
- Danielle Nebeker
- Credential
- R.D., L.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2015
- Certification date
- Oct 20, 2023
- Last updated
- Oct 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | D-725 | ID | Yes |
Practice location
100 E Idaho St Ste 200Boise, ID 83712-6270
Phone 208-381-7329
Mailing address
100 E Idaho St Ste 200Boise, ID 83712-6270
Phone 208-381-7329
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