NPI 1487245122
Idaho State University
Practice location
- Address
- 1311 E Central Dr, Meridian, ID 83642-7991
- Phone
- (208) 373-1926
- Fax
- (833) 499-1813
Authorised official
- Name
- Cynthia Lee Rock
- Title
- Clinics Director of Operations
- Phone
- (208) 373-1743
Registered specialties (8)
Nutrition Education Nutritionist
Primary
Nutritionist
Renal Nutrition Registered Dietitian
Metabolic Nutrition Registered Dietitian
Gerontological Nutrition Registered Dietitian
Obesity and Weight Management Nutrition Registered Dietitian
Oncology Nutrition Registered Dietitian
Sports Dietetics Nutrition Registered Dietitian
Registry record
- NPI
- 1487245122
- Entity type
- Organization
- NPI issued
- 26 Jan 2021
- Record last updated
- 26 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.