Individual provider · Type 1 NPI

Amy Hanneke, RDN, LD

Registered Dietitian · Soda Springs, ID

NPI number 1033638952 Active · reactivated Mar 20, 2018

Practice location

320 Ashland St., Apt. 1
Soda Springs, ID 83276-8327

Mailing address

164 S. 5th St.
Montpelier, ID 83254

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1033638952

Amy Hanneke, RDN, LD's National Provider Identifier is 1033638952, issued on Sep 12, 2017. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Soda Springs, ID. The record was last updated on Mar 20, 2018.