Shannon Green, RD CDE CSR LDN

NPI 1164573275 · on the registry since 2007

Practice

Address: 1011 Ingleside Ave
Catonsville, MD 21228
Phone: (410) 877-6077
Fax: (410) 877-6087
Organisation at this address: Whole Nutrition Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 133V00000X
133V00000X
Also registered as: 133V00000X
133VN1006X
133VN1005X
133N00000X
133NN1002X
133VN1004X
Licence states on file: MD, DC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland