| Niki Mix, RDN, LD | |
|
251 S 1st E, Soda Springs, ID 83276-1601 | |
| (208) 670-3071 | |
| Not Available |
| Full Name | Niki Mix |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 251 S 1st E, Soda Springs, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518415058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D-882 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Niki Mix, RDN, LD 251 S 1st E, Soda Springs, ID 83276-1601 Ph: () - | Niki Mix, RDN, LD 251 S 1st E, Soda Springs, ID 83276-1601 Ph: (208) 670-3071 |
Amy Hanneke, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 320 Ashland St., Apt. 1, Soda Springs, ID 83276 Phone: 314-591-6429 | |
Sara Brown, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 911 Pioneer Dr, Soda Springs, ID 83276 Phone: 208-547-7630 |