NPI 1538625827

Boise Optimal Nutrition LLC

Organisation Registered Dietitian Boise, ID

Practice location

Address: 6126 W State St STE 206, Boise, ID 83703-2741
Phone: (208) 391-3353
Fax: (208) 501-8922
Mailing address: 12747 N 11th Ave, Boise, ID 83714-9334

Authorised official

Name: Medina E Blanchet
Title: Managing Member/Provider
Phone: (425) 220-9972

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1538625827
Entity type: Organization
NPI issued: 12 Feb 2019
Record last updated: 7 Sep 2023

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.