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Abby Jan Wilson, RD,LD,CDE
Registered Dietitian in Pocatello, Idaho
NPI 1033544580

Abby Jan Wilson is a Registered Dietitian based in Pocatello, ID. Abby Jan Wilson practices in Pocatello, ID and has the professional credentials of RD,LD,CDE. The NPI Number for Abby Jan Wilson is 1033544580 and holds a License No. 002152 (Idaho).

The current practice location address for Abby Jan Wilson is 957 Hospital Way Bldg D, Pocatello, ID and can be reached out via phone at 208-239-2070. You can also correspond with Abby Jan Wilson through the mailing address at 957 HOSPITAL WAY BLDG D, POCATELLO, ID - 83201-5096 (mailing address contact number: 208-239-2070).

Location: 957 Hospital Way Bldg D, Pocatello, ID, 83201-5096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033544580
Provider Name
Abby Jan Wilson
Credential
RD,LD,CDE
Provider Entity Type
Individual
Gender
Female
Address
957 Hospital Way Bldg D, Pocatello, ID, 83201-5096
Phone Number
208-239-2070
Fax Number
Provider Enumeration Date
09/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134168263 01 IA HOSPITAL NPI#
1790751055 01 ID HOSPITAL NPI#
institution
Provider Business Practice Location Address Details
Address
957 Hospital Way Bldg D
City
Pocatello
State
Idaho
Zip
83201-5096
Phone Number
208-239-2070
Fax Number
person
Provider Business Mailing Address Details
Address
957 Hospital Way Bldg D
City
Pocatello
State
Idaho
Zip
83201-5096
Phone Number
208-239-2070
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
002152 (Iowa)
Definition
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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
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