Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TRACY BENTO, RD, CDCES, CSOWM
Active Sole ProprietorMRS. TRACY BENTO, RD, CDCES, CSOWM is a Obesity & Weight Management Nutrition healthcare provider located in EAGLE, Idaho. NPI 1134284045 is currently active in the NPPES registry. Verify at CMS.
Obesity & Weight Management Nutrition · EAGLE, ID
Registration Details
- NPI Number
- 1134284045
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 22, 2006 (19.613295720466 yrs)
- Last Updated
- Sep 20, 2023
- Licenses
-
949867 (CA)949867 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
803 S SHORT LNEAGLE, ID, 836164122Browse ID providers · Browse ZIP 83616
- Phone
- 2089540862
- Primary Specialty
-
Obesity & Weight Management Nutrition
133VN1201X
- Additional Specialty
- Registered Dietitian
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.