IndividualActive
Alex Banuet
NPI 1477310555 · Registered Dietitian · Missoula, MT
Provider details
- NPI number
- 1477310555
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 86102570 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1815 Stoddard St
Missoula, MT 59802-1902
Phone: (707) 771-9970
Approximate (ZIP-level) locationGet directions
Mailing address
1815 Stoddard St
Missoula, MT 59802-1902
Registry dates
- Enumerated
- 2024-03-05
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.