Individual provider · Type 1 NPI

Gracie Michelle Dulick, MS, RDN, CSP, LD

Pediatric Nutrition Registered Dietitian · Boise, ID

NPI number 1194367128 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Call (208) 381-3421 Map

Mailing address

3608 S Williamsburg Way
Boise, ID 83706-5604

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XD-1218 (ID)

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…

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About NPI 1194367128

Gracie Michelle Dulick, MS, RDN, CSP, LD's National Provider Identifier is 1194367128, issued on Oct 10, 2019. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Boise, ID. The record was last updated on May 11, 2023.