Individual
SUSAN NORTHUP SHIMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5633
Mailing address
3441 BAISDEN RD, PENSACOLA, FL 32503-3457
(850) 748-3009
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 416
FL
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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