Individual
TIANNA SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
960 W CULLERTON ST APT 2C, CHICAGO, IL 60608-3480
(312) 799-0668
Mailing address
316 S OAKLEY BLVD, CHICAGO, IL 60612-2918
(773) 517-3024
(773) 517-3024
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
05/17/2025
Last updated
05/17/2025
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