Individual
NICOLE SHINEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
909 26TH AVE NW, NORMAN, OK 73069-6366
(405) 801-2323
Mailing address
909 26TH AVE NW, NORMAN, OK 73069-6366
(405) 801-2323
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2008
AR
133V00000X
Registered Dietitian
Primary
770
OK
Other
Enumeration date
03/04/2020
Last updated
12/07/2020
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