Individual
NATHANIEL SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
4621 EASTPARK BLVD, MADISON, WI 53718-2000
(608) 821-1613
Mailing address
1115 N 119TH ST, WAUWATOSA, WI 53226-3303
(608) 695-9111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
585129
WI
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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