Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
L. ELAINE NIEBAUR, RD,CSR, LD
Active Sole ProprietorL. ELAINE NIEBAUR, RD,CSR, LD is a Renal Nutrition healthcare provider located in POCATELLO, Idaho. NPI 1023240496 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · POCATELLO, ID
Registration Details
- NPI Number
- 1023240496
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 18, 2009 (17.012924765802 yrs)
- Last Updated
- Aug 18, 2009
- License
-
D-009 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1522 SOD FARM RDPOCATELLO, ID, 832047532Browse ID providers · Browse ZIP 83204
- Phone
- 2086371094
- Fax
- 2086370750
- Primary Specialty
-
Renal Nutrition
133VN1005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.