Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA ANN FISHER, RD, LD
Active Sole ProprietorSAMANTHA ANN FISHER, RD, LD is a Registered Dietitian healthcare provider located in PONDERAY, Idaho. NPI 1699370064 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · PONDERAY, ID
Registration Details
- NPI Number
- 1699370064
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2020 (5.6575607127238 yrs)
- Last Updated
- Nov 16, 2021
- License
-
D-1162 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30544 HIGHWAY 200 STE 103PONDERAY, ID, 838525005Browse ID providers · Browse ZIP 83852
- Phone
- 2089465110
- 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.