Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Idaho Nutrition and Wellness Clinic

Organization Registered Dietitian · NPI 1790287563

Idaho Nutrition and Wellness Clinic provides Registered Dietitian services in Boise, Idaho. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

894 E Boise Ave
Boise, ID 83706-5122
Phone: (208) 789-9664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1790287563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Bernier — Owner, Registered Dietitian · (208) 789-9664
NPI enumeratedMarch 7, 2018
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019
Mailing address894 E Boise Ave, Boise, ID 83706-5122

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