Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boise Optimal Nutrition LLC

Organization Registered Dietitian · NPI 1538625827

Boise Optimal Nutrition LLC is a Registered Dietitian in Boise, Idaho. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6126 W State St Ste 206
Boise, ID 83703-2741
Phone: (208) 391-3353
Fax: (208) 501-8922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1538625827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Medina Blanchet — Managing Member/Provider · (425) 220-9972
NPI enumeratedFebruary 12, 2019
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address12747 N 11th Ave, Boise, ID 83714-9334

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