Individual
SHAWNA LIN BEDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
18 FOUNDRY ST STE 101, CONCORD, NH 03301-5421
(603) 227-7000
(603) 227-7516
Mailing address
18 FOUNDRY ST STE 101, CONCORD, NH 03301-5421
(603) 230-5636
(603) 227-7584
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
466
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
466
RD LICENSURE
NH
Enumeration date
07/14/2009
Last updated
11/23/2020
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