Organization
ISLAND NUTRITION, PLLC
Active
Other names
Island Nutrition & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON GRUBE MS, RDN, CD (OWNER)
(360) 544-2466
Entity
Organization
Contact information
Practice address
720 SE PIONEER WAY, OAK HARBOR, WA 98277-5752
(360) 544-2466
(360) 873-0017
Mailing address
418 SW JUDSON DR, OAK HARBOR, WA 98277-5802
(360) 544-2466
(360) 873-0017
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2279837
—
WA
Enumeration date
03/05/2025
Last updated
03/05/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us