Doctor Name: | TRISHA D STEPHENS |
NPI Number: | 1144552936 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPH, RD |
License Number: | 928232 |
Business Practice Address: | 222 N 2nd St Suite 215 Boise, ID - 837026109 |
Business Phone Number: | 2083817340 |
Business Fax Number: | |
Mailing Address: | 6515 S Cheshire Ave, BOISE |
State: | ID |
Postal Code: | 837096581 |
Phone Number: | 9167261096 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2010 |
NPI Last Update Date: | 04/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 928232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |