| NPI | 1366831885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LANNIE CHECKETTS CFO 208-367-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WD0400X Registered Nurse Diabetes Educator | |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2023-01-24 |