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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN B CLARK, MS, RD, LD, CDE

Active

SUSAN B CLARK, MS, RD, LD, CDE is a Registered Dietitian healthcare provider located in REXBURG, Idaho. NPI 1124676663 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · REXBURG, ID

Registration Details

NPI Number
1124676663
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2019 (6.9208062444659 yrs)
Last Updated
Nov 24, 2025
License
D-393 (ID)

Practice Information

Address
393 E 2ND N
REXBURG, ID, 834401605
Browse ID providers · Browse ZIP 83440
Phone
2083565401
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in REXBURG, ID

Name Credential NPI
MRS. WENDY MARIE KILLIAN RD LD 1265773337
DENNIS V NGUYEN RD 1851276182
AVARIE OLSEN RDN 1861379984
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.