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

SHANNON DAVIS, MS, RD

Active Sole Proprietor

SHANNON DAVIS, MS, RD is a Registered Dietitian healthcare provider located in HARTWICK, New York. NPI 1780123646 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · HARTWICK, NY

Registration Details

NPI Number
1780123646
Provider Type
Individual
Gender
Female
NPI Issued
Feb 13, 2017 (9.4568510125014 yrs)
Last Updated
Feb 13, 2017
License
8674081 (NY)
Sole Proprietor
Yes

Practice Information

Address
4340 STATE HIGHWAY 80
HARTWICK, NY, 133482714
Browse NY providers · Browse ZIP 13348
Phone
6075478286
Primary Specialty
Registered Dietitian
133V00000X
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.