Julie Shadwick, RN, BSN, CDE
Nutritionist, Nutrition, Education in Bolivar, MO. Individual provider (NPI-1).
NPI number1861692386
StatusActive
Last updated in NPPESJul 23, 2007
Details
- NPI
- 1861692386
- Entity type
- Individual (NPI-1)
- Name
- Julie Shadwick
- Credential
- RN, BSN, CDE
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2007
- Last updated
- Jul 23, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | Yes |
Practice location
1500 N Oakland AveBolivar, MO 65613-3011
Phone 417-326-6000
Mailing address
1500 N Oakland AveBolivar, MO 65613-3011
Phone 417-326-6000
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