SUSAN CLARK, MS, RD, LD, CDE
Dietitian, Registered
Active
Individual
NPI: 1124676663
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered | 133V00000X | Yes | D-393 (ID) |
Frequently Asked Questions
NPI 1124676663 is the National Provider Identifier for SUSAN CLARK, MS, RD, LD, CDE, a Dietitian, Registered provider located in Rexburg, ID. This NPI was enumerated on August 28, 2019.
SUSAN CLARK, MS, RD, LD, CDE practices at 393 E 2ND N, Rexburg, ID 83440.
Quick Facts
- NPI
- 1124676663
- Type
- Individual
- Enumerated
- Aug 28, 2019
- Last Updated
- Nov 24, 2025
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