Individual provider · Type 1 NPI

Chanel Clark, RDN, LD

Registered Dietitian · Indian Valley, ID

NPI number 1609424183 Active

Practice location

2278 Moritz Ln
Indian Valley, ID 83632-5019

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XD-859 (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…

About NPI 1609424183

Chanel Clark, RDN, LD's National Provider Identifier is 1609424183, issued on Aug 28, 2019. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Indian Valley, ID. The record was last updated on Aug 28, 2019.