IndividualActive
Angela Konegni, MS, RD, CSR, LD
NPI 1912635368 · Renal Nutrition Registered Dietitian · Coeur D Alene, ID
Provider details
- NPI number
- 1912635368
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CSR, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1102808 (CA)
Practice location
212 S 11th St Ste 4b
Coeur D Alene, ID 83814-4000
Phone: (208) 278-6388
Fax: (208) 601-6177
Mailing address
2915 E Fernan Ct
Coeur D Alene, ID 83814-5803
Registry dates
- Enumerated
- 2022-08-12
- Last updated
- 2024-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.