Doctor Name: | SHELLY MARIE REDMOND |
NPI Number: | 1265443592 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LDN, RD |
License Number: | 1795 |
Business Practice Address: | 6925 Querbes Dr Shreveport, LA - 711062417 |
Business Phone Number: | 3184260987 |
Business Fax Number: | |
Mailing Address: | 6925 Querbes Dr, SHREVEPORT |
State: | LA |
Postal Code: | 711062417 |
Phone Number: | 3184260987 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 10/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1795 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |