Brenda Lynn Bourn in Boise - Dietitian, Registered
Brenda Lynn Bourn - NPI 1477728178
Brenda Lynn Bourn is a Dietitian, Registered in Boise, Idaho. Brenda Lynn Bourn practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Brenda Lynn Bourn is 1477728178. The last update date is 2015-07-08.
Brenda Lynn Bourn's current location address is 190 E Bannock St, Boise, Idaho. You can contact this provider via phone number 2083812222. The mailing address for Brenda Lynn Bourn is 190 E Bannock St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Lynn Bourn |
|---|---|
| Address | 190 E Bannock St, Boise, Idaho |
| Phone Number | 2083812222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1477728178 |
|---|---|
| Provider Enumeration Date | 2008-04-24 |
| Last Updated Date | 2015-07-08 |
Provider Mailing Address Detail
| Address | 190 E Bannock St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837126241 |
| Phone Number | 2083812222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 864302 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1477728178 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brenda Lynn Bourn by the Centers for Medicare & Medicaid Services?
The Brenda Lynn Bourn has been issued the NPI (National Provider Identifier) 1477728178, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brenda Lynn Bourn's facilities are geographically located?
The facilities of Brenda Lynn Bourn are physically situated at the following location: 190 E Bannock St, Boise, ID, 837126241.
What is Brenda Lynn Bourn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brenda Lynn Bourn's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.
On what date did the Brenda Lynn Bourn receive its 1477728178 assignment from the Centers for Medicare & Medicaid Services?
The Brenda Lynn Bourn was assigned its 1477728178 by the Centers for Medicare & Medicaid Services on 2008-04-24.
As of what date were the Brenda Lynn Bourn's details last updated?
The information pertaining to the Brenda Lynn Bourn, including its address, specialty, and other details, was most recently updated on 2015-07-08.