National Provider Identifier
Shannon L Wilson, MS, RD
Shannon L Wilson, MS, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Williamsville, NY and a listed phone number of (716) 626-7415.
Profile Overview
- NPI
- 1336504141
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- December 21, 2015
- Last Updated
- June 05, 2019
Practice Location
- 2801 Wehrle Dr Ste 4
- Williamsville, NY 14221
Phone: (716) 626-7415
Mailing Address
- 2801 Wehrle Dr Ste 4
- Williamsville, NY 14221-7381
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1336504141
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Shannon
- Middle Name
- L
- Name Prefix
- MS.
- Credential
- MS, RD
- Mailing Street Address
- 2801 Wehrle Dr Ste 4
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7381
- Mailing Country
- US
- Mailing Phone
- (716) 626-7415
- Practice Street Address
- 2801 Wehrle Dr Ste 4
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221
- Practice Country
- US
- Practice Phone
- (716) 626-7415
- Enumeration Date
- December 21, 2015
- Last Updated
- June 05, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)