Shannon Rose Wacker, RD, LDN

Registered Dietitian · Bethlehem, PA

Individual Active NPI

NPI number 1174294474

Practice location

2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Phone
(516) 806-7758

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NPI record

NPI
1174294474
Entity type
Individual (Type 1)
Enumeration date
September 26, 2021
Last updated
September 26, 2021
Certified
September 26, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X DN006977 PA

Mailing address

4531 Park View Dr Apt R10
Schnecksville, PA 18078-2555

About Shannon Wacker

Shannon Rose Wacker, RD, LDN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 2545 Schoenersville Rd, Bethlehem, PA 18017-7300. The NPI number 1174294474 was assigned on September 26, 2021 and the record was last updated on September 26, 2021.

Shannon Wacker lists a license in the registry: #DN006977 (PA) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shannon Rose Wacker, RD, LDN?

The NPI number is 1174294474.

What is the phone number of Shannon Wacker?

The phone number listed for the practice location is (516) 806-7758.

Where is Shannon Wacker located?

2545 Schoenersville Rd, Bethlehem, PA 18017-7300.

What is the taxonomy code for Shannon Wacker?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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