person
Gracie Michelle Dulick, MS,RDN,CSP,LD
Pediatric Nutrition Registered Dietitian in Boise, Idaho
NPI 1194367128

Gracie Michelle Dulick is a Pediatric Nutrition Registered Dietitian based in Boise, ID and is specialized in Nutrition, Pediatric. Gracie Michelle Dulick practices in Boise, ID and has the professional credentials of MS,RDN,CSP,LD. The NPI Number for Gracie Michelle Dulick is 1194367128 and holds a License No. D-1218 (Idaho).

The current practice location address for Gracie Michelle Dulick is 190 E Bannock St, Boise, ID and can be reached out via phone at 208-381-3421.

Location: 190 E Bannock St, Boise, ID, 83706-5604
person
Provider Profile Details
NPI Number
1194367128
Provider Name
Gracie Michelle Dulick
Credential
MS,RDN,CSP,LD
Provider Entity Type
Individual
Gender
Female
Address
190 E Bannock St, Boise, ID, 83706-5604
Phone Number
208-381-3421
Fax Number
Provider Enumeration Date
10/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-381-3421
Fax Number
person
Provider Business Mailing Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-381-3421
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
License No.
D-1218 (Idaho)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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