NPI Search for Physicians and Health Care Providers
SHANNON J BEASLEY MPH, RD
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1790111656
Individual Registrant:
SHANNON J BEASLEY MPH, RD
Gender: F
Not Sole Proprietor
Location and contact information for practice:
250 N SEE VEE LN BISHOP, CA 93514-8130 US
Tel: 760-873-8851 Fax: --
Contact information for business:
250 N SEE VEE LN BISHOP, CA 93514-8130 US
Tel: 760-873-8851 Fax: --
Registration Information:
NPI: 1790111656
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
N | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered
| CA | 1004319 |
Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered | AK | 1004319 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS CA - Page 1