Nutritionist
SUSAN B CLARK MS, RD, LD, CDE
Public NPPES listing with taxonomy: Dietitian, Registered.
Resource details
Medicare status: Confirm directly
Unknown from NPPES
Source: NPPES NPI Registry
NPI: 1124676663
Taxonomy: Dietitian, Registered (133V00000X)
Source confidence: 68%
Medicare assignment: Unknown from NPPES
Address: 450 E MAIN ST, REXBURG, ID, 834402048
Phone: 208-359-6522
Last verified: May 15, 2026