Healthcare Provider Details

I. General information

NPI: 1710236823
Provider Name (Legal Business Name): FLOWER D. ASTON R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2012
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 S WOODRUFF AVE
IDAHO FALLS ID
83404-6374
US

IV. Provider business mailing address

3285 RINGNECK DR
IDAHO FALLS ID
83401-4793
US

V. Phone/Fax

Practice location:
  • Phone: 208-716-2032
  • Fax: 833-463-2232
Mailing address:
  • Phone: 208-716-2032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberD-697
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: