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

SUZANNE MARIE CLARK, RDN, LD, CDCES

Active Sole Proprietor

SUZANNE MARIE CLARK, RDN, LD, CDCES is a Metabolic Nutrition healthcare provider located in NAMPA, Idaho. NPI 1679391627 is currently active in the NPPES registry. Verify at CMS.

Metabolic Nutrition · NAMPA, ID

Registration Details

NPI Number
1679391627
Provider Type
Individual
Gender
Female
NPI Issued
Sep 30, 2024 (1.8268787313968 yrs)
Last Updated
Sep 30, 2024
License
8161378 (ID)
Sole Proprietor
Yes

Practice Information

Address
16692 N INVESTOR LOOP APT 102
NAMPA, ID, 836875227
Browse ID providers · Browse ZIP 83687
Phone
2084066042
Primary Specialty
Metabolic Nutrition
133VN1006X
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.