Shannon Mooney Wickman in Kennebunk - Nutrition, Obesity And Weight Management
Shannon Mooney Wickman - NPI 1356423024
Shannon Mooney Wickman is a Nutrition, Obesity And Weight Management in Kennebunk, Maine. Shannon Mooney Wickman practices all healthcare services and medical treatments related to Nutrition, Obesity And Weight Management. 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2023-07-24 |
Provider Mailing Address Detail
| Address | 72 Main St |
|---|---|
| City | Kennebunk |
| State | Maine (ME) |
| Post Code | 40437021 |
| Phone Number | 2074678825 |
| Fax Number | 2074678811 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Obesity And Weight Management |
|---|---|
| Taxonomy | 133Vn1201X |
| Licence No | DI1082 |
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Definition: An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral h |
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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 Nutrition, Obesity And Weight Management, and the corresponding taxonomy code that categorizes this area of expertise is 133Vn1201X.
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.