Doctor Name: | MS. CAROL DIANE ATCHISON |
NPI Number: | 1497997159 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDLD, CSO, CDE, CNSD |
License Number: | D-278 |
Business Practice Address: | 5957 W. 33rd South Idaho Falls, ID - 834025682 |
Business Phone Number: | 2083131994 |
Business Fax Number: | 2085523341 |
Mailing Address: | 5957 W. 33rd South, IDAHO FALLS |
State: | ID |
Postal Code: | 834025682 |
Phone Number: | 2083131994 |
Fax Number: | 2085523341 |
NPI Enumeration Date: | 03/27/2009 |
NPI Last Update Date: | 03/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D-278 |
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 |