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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON MEDENWALD, RD

Active Sole Proprietor

SHANNON MEDENWALD, RD is a Registered Dietitian healthcare provider located in BROOKINGS, South Dakota. NPI 1144598889 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · BROOKINGS, SD

Registration Details

NPI Number
1144598889
Provider Type
Individual
Gender
Female
NPI Issued
Dec 8, 2011 (14.640585600277 yrs)
Last Updated
Dec 8, 2011
License
0419 (SD)
Sole Proprietor
Yes

Practice Information

Address
300 22ND AVE
BROOKINGS, SD, 570062480
Browse SD providers · Browse ZIP 57006
Phone
6056969000
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in BROOKINGS, SD

Name Credential NPI
MRS. KATY J VANDERWAL 1376614958
SHAYLEE HOFF 1376418756
DR. MARNI ELISE SHOEMAKER RD, LN, CSCS 1821942285
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.