| Nutrition Dejunked Llc | |
|
3350 W Americana Ter Ste 215, Boise, ID 83706-2545 | |
| (208) 629-2441 | |
| Not Available |
| Full Name | Nutrition Dejunked Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3350 W Americana Ter Ste 215, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437779469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Kathryn Willis Callahan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356992937 PECOS PAC ID: 1052732070 Enrollment ID: I20200529002657 |
| Provider Name | Autumn Rose Rauchwerk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235918285 PECOS PAC ID: 6901252592 Enrollment ID: I20231102003106 |
| Provider Name | Myah Merino |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972344570 PECOS PAC ID: 2567907009 Enrollment ID: I20240709003368 |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrition Dejunked Llc 3350 W Americana Ter Ste 215, Boise, ID 83706-2545 Ph: (208) 629-2441 | Nutrition Dejunked Llc 3350 W Americana Ter Ste 215, Boise, ID 83706-2545 Ph: (208) 629-2441 |
St Lukes Regional Medical Center Dietitian Medicare: Medicare Enrolled Practice Location: 1226 W River St, Boise, ID 83702 Phone: 208-331-1155 | |
Natalie Dawn Echanis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 S Broadway Ave Ste 505, Boise, ID 83706 Phone: 208-780-6254 | |
Rachael Tatko, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13900 W Wainwright Dr, Boise, ID 83713 Phone: 208-433-9424 | |
Ariana Lawrence, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-7081 Fax: 208-381-6009 | |
Daria T Pori, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1141 | |
Ms. Megan Marie Mcguffey, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1910 University Dr, Boise, ID 83725 Phone: 208-426-1459 | |
Rhonda L O'brien, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1414 W Franklin St, Boise, ID 83702 Phone: 208-342-2228 Fax: 208-343-0889 |