Doctor Name: | CHELSEA GRUVER |
NPI Number: | 1740600782 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPH, RD, LD |
License Number: | D-780 |
Business Practice Address: | 2450 E Gala St. Suite 100 Meridian, ID - 83642 |
Business Phone Number: | 2084036232 |
Business Fax Number: | |
Mailing Address: | 2450 S Nantucket Way, BOISE |
State: | ID |
Postal Code: | 837065093 |
Phone Number: | 2084036232 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2014 |
NPI Last Update Date: | 04/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D-780 |
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 |