# SHANNON HEFFERN, RD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700127354
- **Authorized official:** SHANNON HEFFERN (DIETITIAN/OWNER)
- **Authorized official phone:** (602) 615-1313

## Contact information

- **Practice address:** 6125 E VOLTAIRE AVE, SCOTTSDALE, AZ 85254-3850
- **Practice address phone:** (602) 615-1313
- **Mailing address:** 6125 E VOLTAIRE AVE, SCOTTSDALE, AZ 85254-3850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | Yes |
| 133V00000X | Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2013
- **Last updated:** 03/06/2013