Individual
AMBER BULCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
2867 E COPPER POINT DR, MERIDIAN, ID 83642-1716
(208) 401-9100
Mailing address
1010 S PHILLIPPI ST, BOISE, ID 83705-1947
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-772
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86006692
COMMISSION OF DIETETIC REGISTRATION
—
Enumeration date
04/02/2020
Last updated
04/02/2020
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