Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACIE MICHELLE DULICK, MS, RDN, CSP, LD
ActivePediatric Nutrition · BOISE, ID
Registration Details
- NPI Number
- 1194367128
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2019 (6.5313984511235 yrs)
- Last Updated
- May 11, 2023
- License
-
D-1218 (ID)
Practice Information
- Address
-
190 E BANNOCK STBOISE, ID, 837126241Browse ID providers · Browse ZIP 83712
- Phone
- 2083813421
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| LAURA MARGARET BOQUETTE | R.D., CSR, L.D. | 1659665545 |
| JOANNA BORK | — | 1740605740 |
| ERIN ROELOFS | — | 1942628698 |
| MARIE BAILEY-DABNEY | RD, LD, CNSC | 1558761601 |
| SERENA ARAVE | RD, CNSC, LD | 1225423262 |
| KODY MICHAEL DUCLOS | RD, LD | 1033748124 |
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.