Doctor Name: | TENNILLE IRENE HOUSTON |
NPI Number: | 1003996398 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHE, RD, LD, CDE |
License Number: | D-348 |
Business Practice Address: | 1501 Hiland Ave Cassia Regional Medical Center Burley, ID - 833182682 |
Business Phone Number: | 2086776587 |
Business Fax Number: | |
Mailing Address: | 278 Dollar Hide Way, JEROME |
State: | ID |
Postal Code: | 833386554 |
Phone Number: | 2087318789 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D-348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |