MEDICARE: EMILY IZER MS, RDN, CD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DI60997924	WA
2	133N00000X	Nutritionist	86104282	WA

General Provider Information

NPI Number	:	1306425194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY IZER MS, RDN, CD

Provider Business Mailing Address
First Line	:	2760 NW 85TH ST APT 208
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-4558
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2760 NW 85TH ST APT 208
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-4558
Country	:	US
Telephone Number	:	513-387-8353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	03/18/2026

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