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NORTH IDAHO WEIGHT LOSS LLC. NPI 1134768393


NPI Information

NPI: 1134768393
Provider Name: NORTH IDAHO WEIGHT LOSS, LLC.
Classification: Dietitian, Registered - 133VN1201X
Entity Type: Organization

Specialization: Nutrition, Obesity and Weight Management

Address:
118 N 7TH ST STE C12
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 274-3611
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NORTH IDAHO WEIGHT LOSS, LLC. is a nutrition and obesity and weight management dietitian registered in Coeur D Alene, ID. The provider is an individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions. NORTH IDAHO WEIGHT LOSS, LLC. NPI is 1134768393. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

118 N 7TH ST STE C12
COEUR D ALENE, ID
ZIP 83814-709
Phone: (208) 274-3611

The provider's authorized official is Penny J Burciaga .
The authorized official title is Functional Nutritionist/owner and has the following contact phone number (805) 888-7077.

The enumeration date for this NPI number is 1/5/2020 and was last updated on 1/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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