Individual
SHANNON NICOLE GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1721 RIO RANCHO DR SE, RIO RANCHO, NM 87124-1052
(505) 896-8600
(505) 895-8687
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0852
NM
Other
Enumeration date
03/12/2012
Last updated
03/13/2025
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