NPI 1306731856

Shannon Martin, CFNC

Practitioner Nutrition Education Nutritionist Fort Wayne, IN

Practice location

Address: 1021 Wingate Dr, Fort Wayne, IN 46845-1351
Phone: (260) 602-3962

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

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Registry record

NPI: 1306731856
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2025
Record last updated: 12 Jun 2025

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.