Individual
CARLY SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CLC
Contact information
Practice address
2712 N 65TH AVE, OMAHA, NE 68104-3915
(608) 341-7836
Mailing address
2712 N 65TH AVE, OMAHA, NE 68104-3915
(608) 341-7836
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86046262
—
174N00000X
Lactation Consultant (Non-RN)
352680
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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