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

Practical Pcos LLC

Organization Registered Dietitian · NPI 1982565503

Practical Pcos LLC is a Registered Dietitian in Boise, Idaho. Registered with an NPI since 2025.

In the registry since
2025
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

6040 S Chinook Way
Boise, ID 83709-1378
Phone: (208) 353-6277
Fax: (208) 442-9351
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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 number1982565503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sariah Wilson — Owner · (801) 857-0390
NPI enumeratedNovember 21, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address9169 W State St # 706, Garden City, ID 83714-1733

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