Organization · Type 2 NPI

Northwest Nutrition Consulting

Pediatric Nutrition Registered Dietitian · Coeur D Alene, ID

NPI number 1114656907 Active

Practice location

206 W Ironwood Dr # 1005
Coeur D Alene, ID 83814-2640

Mailing address

206 W Ironwood Dr Ste 1005
Coeur D Alene, ID 83814-2640

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XNone listed

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

About NPI 1114656907

Northwest Nutrition Consulting's National Provider Identifier is 1114656907, issued on Jun 7, 2022. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Coeur D Alene, ID. The record was last updated on Dec 10, 2025.