NPI 1033638952
Amy Hanneke, RDNLD
Practice location
- Address
- 320 Ashland St. APT. 1, Soda Springs, ID 83276-8327
- Phone
- (314) 591-6429
- Mailing address
- 164 S. 5th St., Montpelier, ID 83254
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1033638952
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Sep 2017
- Record last updated
- 20 Mar 2018
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.