Doctor Name: | MS. SHAINA CELESTE ELLIOTT |
NPI Number: | 1932359635 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 1675 |
Business Practice Address: | 1801 Oak Park Blvd Lake Charles, LA - 706018900 |
Business Phone Number: | 3374946425 |
Business Fax Number: | 3374306959 |
Mailing Address: | 124 Jerry Road, P.o. Box 287 LACASSINE |
State: | LA |
Postal Code: | 70650 |
Phone Number: | 3375884941 |
Fax Number: | 3375884941 |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 09/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1675 |
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 |