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

Individual provider Lactation Consultant (Non-RN) · NPI 1376335737

Mary Monroe, RDN, LD, IBCLC is a Lactation Consultant (Non-RN) in Hayden, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2025
Specialties on file
2
What do these letters mean?
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

8500 N Atlas Rd
Hayden, ID 83835-8332
Phone: (208) 415-5136
Fax: (208) 415-5131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D-363 (ID)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence L-304099

Record details

NPI number1376335737
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LD , IBCLC
Sole proprietorYes
NPI enumeratedMay 21, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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