Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
SHELLEY LYNNE WOODALL
Active
Individual
SHELLEY LYNNE WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDLD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01269
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01269
LICENSE
IA
01
—
813425
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
06/14/2007
Last updated
10/08/2013
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