NPI 1033432950

Shannah L Johnson, RD

Practitioner Registered Dietitian Bronx, NY

Practice location

Address: 2675 Grand Concourse #4f, Bronx, NY 10468-3745
Phone: (612) 360-1491

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 885503 (NY)

Other Dietitian, Registered providers in New York →

Registry record

NPI: 1033432950
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2010
Record last updated: 5 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.