Shannon Mooney Wickman in Kennebunk - Dietitian, Registered
Shannon Mooney Wickman - NPI 1356423024
Shannon Mooney Wickman is a Dietitian, Registered in Kennebunk, Maine. Shannon Mooney Wickman practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Shannon Mooney Wickman is 1356423024. The last update date is 2023-07-24.
Shannon Mooney Wickman's current location address is 72 Main St, Kennebunk, Maine. You can contact this provider via phone number 2074678825 and fax number 2074678811. The mailing address for Shannon Mooney Wickman is 72 Main St, Kennebunk, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon Mooney Wickman |
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Address | 72 Main St, Kennebunk, Maine |
Phone Number | 2074678825 |
Fax Number | 2074678811 |
Sole Proprietor | N |
Credentials | RD, LDN, C |
NPI Number Detail
NPI Number | 1356423024 |
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Provider Enumeration Date | 2006-10-20 |
Last Updated Date | 2023-07-24 |
Provider Mailing Address Detail
Address | 72 Main St |
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City | Kennebunk |
State | Maine (ME) |
Post Code | 40437021 |
Phone Number | 2074678825 |
Fax Number | 2074678811 |
Provider's Primary Taxonomy Detail
Speciality | Dietitian, Registered |
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Taxonomy | 133V00000X |
Licence No | 2439 |
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique 10-digit identifier code issued to Shannon Mooney Wickman by the Centers for Medicare & Medicaid Services?
The Shannon Mooney Wickman has been assigned the NPI (National Provider Identifier) 1356423024 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Shannon Mooney Wickman located?
The Shannon Mooney Wickman is located at 72 Main St, Kennebunk, ME 40437021.
What is the area of specialization for Shannon Mooney Wickman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shannon Mooney Wickman is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356423024 to Shannon Mooney Wickman?
The Centers for Medicare & Medicaid Services assigned the 1356423024 to Shannon Mooney Wickman on 2006-10-20.
When was the Shannon Mooney Wickman's information last updated?
The Shannon Mooney Wickman's information was last updated on 2023-07-24.