Shelby Ann Wright
Dietitian, Registered in Glen Burnie, MD. Individual provider (NPI-1).
NPI number1164091724
StatusActive
Last updated in NPPESJun 18, 2021
Details
- NPI
- 1164091724
- Entity type
- Individual (NPI-1)
- Name
- Shelby Ann Wright
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2021
- Certification date
- Jun 18, 2021
- Last updated
- Jun 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DX5296 | MD | Yes |
Other names
- Shelby Ann Lake (Former Name)
Practice location
7518 Briargrove LnGlen Burnie, MD 21060-8389
Phone 623-313-4742
Mailing address
7518 Briargrove LnGlen Burnie, MD 21060-8389
Phone 623-313-4742
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All 15 Registered Dietitian providers in Glen Burnie · All 2,953 providers in Glen Burnie
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