Krista L Criswell, DIETITIAN

NPI #1912990771 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1912990771
Entity Type: Individual
Name: Krista L Criswell, DIETITIAN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: DIETITIAN
Enumeration Date: Aug 26, 2005
Last Updated: Jan 28, 2016

Practice Location

Address: 2003 KOOTENAI HEALTH WAY
City: Coeur D Alene
State: Idaho
ZIP Code: 83814-6051
Phone: (208) 666-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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