Individual
DANAE L SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
3801 150TH AVE SE, BELLEVUE, WA 98006-1668
(425) 460-7140
(425) 460-7161
Mailing address
8915 14TH AVE S, SEATTLE, WA 98108-4813
(206) 764-4700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.005980
IL
133V00000X
Registered Dietitian
Primary
DI60563553
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164.005980
LICENSE #
IL
Enumeration date
09/04/2013
Last updated
06/25/2020
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