Individual provider · Type 1 NPI

Makenna Lyn Goutermout, RD, LD

Registered Dietitian · Boise, ID

NPI number 1164916508 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Call (208) 381-2222 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XD-909 (ID)

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 1164916508

Makenna Lyn Goutermout, RD, LD's National Provider Identifier is 1164916508, issued on Jun 19, 2018. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Boise, ID. The record was last updated on Jun 19, 2018.