Individual provider · Type 1 NPI

Karen Mangum, M.S., R.D.N., L.D.

Registered Dietitian · Boise, ID

NPI number 1194264077 Active

Practice location

115 N. Main Street, Suite #203
Boise, ID 83702

Mailing address

4726 W Clear Field Dr
Eagle, ID 83616-6957

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XD-208 (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 1194264077

Karen Mangum, M.S., R.D.N., L.D.'s National Provider Identifier is 1194264077, issued on Feb 13, 2017. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Boise, ID. The record was last updated on Feb 13, 2017.