Organization · Type 2 NPI

Practical Pcos LLC

Registered Dietitian · Boise, ID

NPI number 1982565503 Active

Practice location

6040 S Chinook Way
Boise, ID 83709-1378

Call (208) 353-6277 Map

Fax (208) 442-9351

Mailing address

9169 W State St # 706
Garden City, ID 83714-1733

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

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 1982565503

Practical Pcos LLC's National Provider Identifier is 1982565503, issued on Nov 21, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Boise, ID. The record was last updated on Nov 21, 2025.