Individual
SHANNON EMILY NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 NEW JERSEY AVE SE APT 519, WASHINGTON, DC 20003-3990
(315) 759-9083
Mailing address
800 NEW JERSEY AVE SE APT 519, WASHINGTON, DC 20003-3990
(315) 759-9083
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4304
MD
Other
Enumeration date
11/24/2025
Last updated
11/25/2025
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