Search › Idaho › 133V00000X
Stephanie Henderson, RD LD
NPI 1528373313 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1555 Vernon Ave
Blackfoot, ID 83221 - Phone
- (307) 399-0139
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho