Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON ELIZABETH BARES, RD, CSR, LD
ActiveSHANNON ELIZABETH BARES, RD, CSR, LD is a Renal Nutrition healthcare provider located in GALLUP, New Mexico. NPI 1588360937 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · GALLUP, NM
Registration Details
- NPI Number
- 1588360937
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2023 (3.3299472887151 yrs)
- Last Updated
- Feb 6, 2023
- Licenses
-
LD-1261 (NM)D-1419 (ID)461 (WY)954764
Practice Information
- Address
-
303 STAGECOACH RDGALLUP, NM, 873016779Browse NM providers · Browse ZIP 87301
- Phone
- 4144030501
- Primary Specialty
-
Renal Nutrition
133VN1005X
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Renal Nutrition
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.