Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON MARTIN, CFNC
ActiveNutrition, Education · FORT WAYNE, IN
Registration Details
- NPI Number
- 1306731856
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2025 (0.89872773376462 yrs)
- Last Updated
- Jun 12, 2025
Practice Information
- Address
-
1021 WINGATE DRFORT WAYNE, IN, 468451351Browse IN providers · Browse ZIP 46845
- Phone
- 2606023962
- Primary Specialty
-
Nutrition, Education
133NN1002X
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.