Individual provider · Type 1 NPI
Annika Lenore Dougherty Imelli, RD, IBCLC
Registered Dietitian · Polaris, MT
Practice location
141 Aspen View Rd
Polaris, MT 59746
Mailing address
PO Box 460458
Polaris, MT 59746-0458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-21954 |
| Registered Dietitian Primary | 133V00000X | MED-NUT-LIC-125402 (MT) |
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…
About NPI 1194411447
Annika Lenore Dougherty Imelli, RD, IBCLC's National Provider Identifier is 1194411447, issued on Apr 11, 2023. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Polaris, MT. The record was last updated on Jan 3, 2025.