NPI 1023240496

L. Elaine Niebaur, RDCSRLD

Practitioner Renal Nutrition Registered Dietitian Pocatello, ID

Practice location

Address: 1522 Sod Farm Rd, Pocatello, ID 83204-7532
Phone: (208) 637-1094
Fax: (208) 637-0750

Registered specialties

Renal Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1005X Licence D-009 (ID)

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1023240496
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2009
Record last updated: 18 Aug 2009

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.