Individual
ARLENE ELIASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LN, CDE
Contact information
Practice address
935 HIGHLAND BLVD, SUITE 2180, BOZEMAN, MT 59715-6904
(406) 414-5331
(406) 414-5332
Mailing address
935 HIGHLAND BLVD, SUITE 2180, BOZEMAN, MT 59715-6904
(406) 414-5331
(406) 414-5332
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
523
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09420207
CERTIFIED DIABETES EDUCATOR NUMBER
—
01
—
523
MED-NUTR-LICENSE NUMBER
MT
Enumeration date
08/11/2016
Last updated
08/11/2016
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