Individual
ANNA LOUISE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
431 S 12TH ST, SAINT MARIES, ID 83861-1624
(208) 699-5694
Mailing address
431 S 12TH ST, SAINT MARIES, ID 83861-1624
(208) 699-5694
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1390
ID
Other
Enumeration date
11/27/2025
Last updated
11/27/2025
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