Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CICELY SHANKLE
Active Sole ProprietorCICELY SHANKLE is a Nutritionist healthcare provider located in FAIRBANKS, Alaska. NPI 1396302519 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · FAIRBANKS, AK
Registration Details
- NPI Number
- 1396302519
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2019 (7.2578854689086 yrs)
- Last Updated
- Jul 26, 2021
- License
-
146810 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 UNIVERSITY AVE STE 2AFAIRBANKS, AK, 997093651Browse AK providers · Browse ZIP 99709
- Phone
- 9072063000
- Fax
- 9073310480
- Primary Specialty
-
Nutritionist
133N00000X
Other Nutritionist Providers in FAIRBANKS, AK
| Name | Credential | NPI |
|---|---|---|
| ELLEN MAREEN OLSON | NUTRITIONIST | 1528341781 |
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.