Individual provider · Type 1 NPI

Mary Monroe, RDN, LD, IBCLC

Registered Dietitian · Hayden, ID

NPI number 1376335737 Active

Practice location

8500 N Atlas Rd
Hayden, ID 83835-8332

Fax (208) 415-5131

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Non-RN) 174N00000XL-304099
Registered Dietitian Primary 133V00000XD-363 (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 1376335737

Mary Monroe, RDN, LD, IBCLC's National Provider Identifier is 1376335737, issued on May 21, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Hayden, ID. The record was last updated on Jun 18, 2025.