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

SHANNON MICHELLE SUNDBERG, MS, RD, CD

Active Sole Proprietor

Pediatric Nutrition · SALT LAKE CITY, UT

Registration Details

NPI Number
1154670503
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2012 (13.643743772063 yrs)
Last Updated
Aug 30, 2012
License
3781234901 (UT)
Sole Proprietor
Yes

Practice Information

Address
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT, 841131103
Browse UT providers · Browse ZIP 84113
Phone
8012771207
Primary Specialty
Pediatric Nutrition
133VN1004X

Other Pediatric Nutrition Providers in SALT LAKE CITY, UT

Name Credential NPI
MARGARET E CHANEY 1174669477
MS. MARGARET ANNE BRAAE R.D. 1508112004
AMELIA BETH DAVIDSON MS, RD, CSP, CD 1255688685
MS. SUSAN FITZGERALD RD 1801143193
MARIE WHITE 1760739965
MRS. SHARLENE B. COOMBS R.D. 1174870711
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.