Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOANNA BORK
ActivePediatric Nutrition · BOISE, ID
Registration Details
- NPI Number
- 1740605740
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 27, 2014 (12.147860385416 yrs)
- Last Updated
- Feb 27, 2014
- License
-
D-288 (ID)
Practice Information
- Address
-
100 E IDAHO STSUITE 200BOISE, ID, 837126267Browse ID providers · Browse ZIP 83712
- Phone
- 2083817081
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| LAURA MARGARET BOQUETTE | R.D., CSR, L.D. | 1659665545 |
| ERIN ROELOFS | — | 1942628698 |
| MARIE BAILEY-DABNEY | RD, LD, CNSC | 1558761601 |
| SERENA ARAVE | RD, CNSC, LD | 1225423262 |
| GRACIE MICHELLE DULICK | MS, RDN, CSP, LD | 1194367128 |
| 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.