Individual
SHARON NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2790 S GOSHEN WAY, BOISE, ID 83709
(208) 373-7975
Mailing address
2790 S GOSHEN WAY, BOISE, ID 83709-8506
(208) 373-7975
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-254
ID
Other
Enumeration date
05/11/2017
Last updated
06/22/2018
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