Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNON MOONEY WICKMAN, RD, LDN, CSOWM
ActiveMRS. SHANNON MOONEY WICKMAN, RD, LDN, CSOWM is a Obesity & Weight Management Nutrition healthcare provider located in KENNEBUNK, Maine. NPI 1356423024 is currently active in the NPPES registry. Verify at CMS.
Obesity & Weight Management Nutrition · KENNEBUNK, ME
Registration Details
- NPI Number
- 1356423024
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2006 (19.772855021561 yrs)
- Last Updated
- Jul 24, 2023
- Licenses
-
2439 (MA)DI1082 (ME)
Practice Information
- Address
-
72 MAIN STKENNEBUNK, ME, 040437021Browse ME providers · Browse ZIP 04043
- Phone
- 2074678825
- Fax
- 2074678811
- Primary Specialty
-
Obesity & Weight Management Nutrition
133VN1201X
- Additional Specialty
- Obesity & Weight Management Nutrition
Other Obesity & Weight Management Nutrition Providers in KENNEBUNK, ME
| Name | Credential | NPI |
|---|---|---|
| ARIANNA GENEVIEVE BOGUCKI | RD | 1093408676 |
| SHEILA ANN ADAMS | — | 1467220608 |
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.