Individual
DANIELLE NEBEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
100 E IDAHO ST STE 200, BOISE, ID 83712-6270
(208) 381-7329
Mailing address
100 E IDAHO ST STE 200, BOISE, ID 83712-6270
(208) 381-7329
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-725
ID
Other
Enumeration date
02/17/2015
Last updated
10/20/2023
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