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

Idaho Nutrition and Wellness Clinic

Organization Registered Dietitian · NPI 1790287563

Idaho Nutrition and Wellness Clinic is a Registered Dietitian 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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