Haley Willison, MS, RD, LD, ACSM-CEP is a
Dietitian, Registered based in Kethcum, Idaho. Haley Willison is licensed to practice in Idaho (license number 86057009) and her current practice location is
100 Hospital Drive, Kethcum, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 727-8356.
NPI number for Haley Willison is 1437681103 and her current mailing address is Po Box 640, Boise, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437681103.
Healthcare Provider's Profile
| Full Name | Haley Willison |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 100 Hospital Drive, Kethcum, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437681103
- Provider Enumeration Date: 03/31/2017
- Last Update Date: 03/31/2017
Medical Identifiers
Medical identifiers for Haley Willison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437681103 | NPI | - | NPPES |
| 86057009 | Other | ID | CDR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 86057009 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Haley Willison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Haley Willison, MS, RD, LD, ACSM-CEP
Po Box 640,
Boise, ID 83701-0640
Ph: () - | Haley Willison, MS, RD, LD, ACSM-CEP
100 Hospital Drive,
Kethcum, ID 83340
Ph: (208) 727-8356 |
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