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Individual

SHANNON NICOLE STOCKERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
2650 UNIVERSITY AVE SE APT 436, MINNEAPOLIS, MN 55414-4339
(916) 541-7573
Mailing address
2650 UNIVERSITY AVE SE APT 436, MINNEAPOLIS, MN 55414-4339

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5786
MN

Other

Enumeration date
01/13/2026
Last updated
01/13/2026
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