Doctor Name: | MRS. NORA ELIZABETH JANSEN SHANK |
NPI Number: | 1801084124 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 934503 |
Business Practice Address: | 4904 S Power Rd Suite 103-188 Mesa, AZ - 85212 |
Business Phone Number: | 6027707611 |
Business Fax Number: | 4802848275 |
Mailing Address: | 4904 S Power Rd, Suite 103-188 MESA |
State: | AZ |
Postal Code: | 85212 |
Phone Number: | 6027707611 |
Fax Number: | 4802848275 |
NPI Enumeration Date: | 10/11/2007 |
NPI Last Update Date: | 09/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 934503 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |