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

Gracie Michelle Dulick, MS, RDN, CSP, LD

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1194367128

Gracie Michelle Dulick, MS, RDN, CSP, LD is a Pediatric Nutrition Registered Dietitian in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2019.

Licensed in
ID
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-3421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X · Licence D-1218 (ID)

Record details

NPI number1194367128
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , CSP , LD
Sole proprietorNo
NPI enumeratedOctober 10, 2019
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

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