Shannan E Bergtholdt, MS ED, R.D.
NPI #1407159361 in Springfield, Virginia
Provider Information
- NPI Number
- 1407159361
- Entity Type
- Individual
- Name
- Shannan E Bergtholdt, MS ED, R.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- MS ED, R.D.
- Enumeration Date
- Dec 15, 2010
- Last Updated
- Jan 27, 2021
Practice Location
- Address
- 8116 ASHTONBIRCH DR
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22152-3021
- Phone
- (757) 288-5727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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