Most Relevant Information
Provider Data
| NPI Number: | 1003485277 |
| Provider Name: | NATALIE DAWN ECHANIS RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/22/2021 |
| Last Updated: | 06/22/2021 |
Provider Practice Location
960 S BROADWAY AVE STE 505
BOISE
ID
837063630
Practice Location Phone/Fax
| Phone: | 2087806254 |
| Fax: |
Provider Mailing Location
960 S BROADWAY AVE STE 505
BOISE
ID
837063630
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |