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

HEIDI ROSE BRACKEBUSCH, RDN

Active Sole Proprietor

HEIDI ROSE BRACKEBUSCH, RDN is a Registered Dietitian healthcare provider located in OSBURN, Idaho. NPI 1477415982 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · OSBURN, ID

Registration Details

NPI Number
1477415982
Provider Type
Individual
Gender
Female
NPI Issued
Dec 2, 2025 (0.65769602366727 yrs)
Last Updated
Dec 2, 2025
License
7671544 (ID)
Sole Proprietor
Yes

Practice Information

Address
PO BOX 642
OSBURN, ID, 838490642
Browse ID providers · Browse ZIP 83849
Phone
2087738111
Primary Specialty
Registered Dietitian
133V00000X
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.