Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDA LYNN BOURN, RD
ActiveBRENDA LYNN BOURN, RD is a Registered Dietitian healthcare provider located in BOISE, Idaho. NPI 1477728178 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · BOISE, ID
Registration Details
- NPI Number
- 1477728178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2008 (18.263554327032 yrs)
- Last Updated
- Aug 31, 2025
- Licenses
-
00864302 (AZ)00777 (NM)D-742 (ID)
Practice Information
- Address
-
1226 W RIVER STBOISE, ID, 837027049Browse ID providers · Browse ZIP 83702
- Phone
- 2083311155
- Fax
- 2083830190
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Registered Dietitian
Other Registered Dietitian Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| TINA K MCGREW | MS, RD, LD | 1700862976 |
| MS. MARNI MAY MCDOWELL | M.S., R.D. | 1316914054 |
| TRACY L. VARNER | RD | 1730109299 |
| PHOEBE LANSING LEE | R.D. | 1386758787 |
| BARBARA LEE PERRY | R.D. | 1285738773 |
| MARY ANN BROTHER | R.D. | 1134224421 |
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.