person
Joanna Bork
Pediatric Nutrition Registered Dietitian in Boise, Idaho
NPI 1740605740

Joanna Bork is a Pediatric Nutrition Registered Dietitian based in Star, ID and is specialized in Nutrition, Pediatric. Joanna Bork practices in Boise, ID. The NPI Number for Joanna Bork is 1740605740 and holds a License No. D-288 (Idaho).

The current practice location address for Joanna Bork is 100 E Idaho St, Boise, ID and can be reached out via phone at 208-381-7081.

Location: 100 E Idaho St, Boise, ID, 83669-5755
person
Provider Profile Details
NPI Number
1740605740
Provider Name
Joanna Bork
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 E Idaho St, Boise, ID, 83669-5755
Phone Number
208-381-7081
Fax Number
Provider Enumeration Date
02/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 E Idaho St
City
State
Zip
83712-6267
Phone Number
208-381-7081
Fax Number
person
Provider Business Mailing Address Details
Address
100 E Idaho St
City
State
Zip
83712-6267
Phone Number
208-381-7081
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
License No.
D-288 (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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