Doctor Name: | MS. SHANTEL LEIGH SCHIRADO |
NPI Number: | 1326322520 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | LD-D-10144587 |
Business Practice Address: | 1717 Arlington Ave Caldwell, ID - 836054802 |
Business Phone Number: | 2084553803 |
Business Fax Number: | 2084553885 |
Mailing Address: | 1717 Arlington Ave, CALDWELL |
State: | ID |
Postal Code: | 836054802 |
Phone Number: | 2084553803 |
Fax Number: | 2084553885 |
NPI Enumeration Date: | 10/06/2011 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD-D-10144587 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
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 |