NPI 1932317609

Wendy L Whitesides

Practitioner Registered Dietitian Burley, ID

Practice location

Address: 1501 Hiland Ave, Burley, ID 83318-2682
Phone: (208) 678-4444
Mailing address: 238 S 50 W, Burley, ID 83318-5697

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D-161 (ID)

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1932317609
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2007
Record last updated: 8 Jul 2007

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.