Individual
SHANNON HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
1304 LAPORTE AVE, FORT COLLINS, CO 80521-2314
(240) 217-5508
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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