NPI 1396302519

Cicely Shankle

Practitioner Nutritionist Fairbanks, AK

Practice location

Address: 600 University Ave STE 2a, Fairbanks, AK 99709-3651
Phone: (907) 206-3000
Fax: (907) 331-0480

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 146810 (AK)

Other Nutritionist providers in Alaska →

Registry record

NPI: 1396302519
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2019
Record last updated: 26 Jul 2021

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.