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

SHANNON RAE HEFFERN, R.D.

Active Sole Proprietor

SHANNON RAE HEFFERN, R.D. is a Registered Dietitian healthcare provider located in FLAGSTAFF, Arizona. NPI 1760744130 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · FLAGSTAFF, AZ

Registration Details

NPI Number
1760744130
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2012 (14.158608942652 yrs)
Last Updated
Mar 16, 2017
License
706932
Sole Proprietor
Yes

Practice Information

Address
1200 N. BEAVER
FLAGSTAFF, AZ, 86001
Browse AZ providers · Browse ZIP 86001
Phone
9282142800
Fax
9287732421
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in FLAGSTAFF, AZ

Name Credential NPI
MS. SUSAN R HOELSCHER RD 1730170317
DIANE L PHILLIPS RD, LD, CDE 1477654903
MS. ALVINA Y BEGAY R.D. 1720169212
MS. CATHY LYNN OLSON RD, CDE 1962562389
SHARON A GRASSO MPH, RD 1932252251
MRS. JODY HOSKINS RD 1922143924
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.