NPI 1235859471

Alexy Vada Nelson, RD

Practitioner Registered Dietitian Victor, ID

Practice location

Address: 680 E 5500 S, Victor, ID 83455-4613
Phone: (208) 270-4306

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D-1375 (ID)

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1235859471
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2022
Record last updated: 29 Aug 2022

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.