SearchIdaho133V00000X

Samantha Wade, RD

NPI 1891416889 · on the registry since 2022

Practice

Address
1910 University Dr
Boise, ID 83725
Phone
(206) 795-2335
Clinicians at this address
49

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
2022-09-07

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