MEDICARE: DARCY A. GANS-BELOW RD

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	133VN1005X	Renal Nutrition Registered Dietitian	503	ID

General Provider Information

NPI Number	:	1609108802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARCY A. GANS-BELOW RD

Provider Business Mailing Address
First Line	:	7509 E LEWIS LN
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-9069
Country	:	US
Telephone Number	:	208-922-9833
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 W GEORGIA AVE
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-2835
Country	:	US
Telephone Number	:	208-463-8558
Fax Number	:

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

Provider Enumeration Date	:	02/12/2010
Last Update Date	:	02/12/2010

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Directions to “ DARCY A. GANS-BELOW RD” Practice Location

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