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Contact Information

SHANNON L STAMPER, RD, CSP, LD
610 W HAYS ST
BOISE, ID83702
 Phone: 208-381-7092
 Fax: 208-381-7071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for SHANNON L STAMPER · (Female)

NPI # 1659754810
Status Active
Credentials RD, CSP, LD
Entity Individual
Enumeration date 07/07/2015
Last updated 07/25/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ID License # D-874
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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