IndividualActive
Vanessa Rojas-Bautista, R.D.N.
NPI 1417328121 · Renal Nutrition Registered Dietitian · Star, ID
Provider details
- NPI number
- 1417328121
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D.N.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1096678 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
680 S Calhoun Pl
Star, ID 83669-5310
Phone: (208) 353-1528
Approximate (ZIP-level) locationGet directions
Mailing address
680 S Calhoun Pl
Star, ID 83669-5310
Additional practice locations (1)
- 101 City Drive, Bldg. 51Orange, CA 92868-3217Phone: (714) 456-8636Fax: (714) 456-7816
Registry dates
- Enumerated
- 2015-10-08
- Last updated
- 2024-09-09
- Certified
- 2024-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.