NPI 1518415058

Niki Mix, RDNLD

Practitioner Registered Dietitian Soda Springs, ID

Practice location

Address: 251 S 1st E, Soda Springs, ID 83276-1601
Phone: (208) 670-3071

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D-882 (ID)

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1518415058
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2016
Record last updated: 13 Sep 2016

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.