NPI Profile for CAROL J SHOULDERS in SHIPROCK, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X | |||
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional |
| NPI Number | 1841287182 |
|
| Status | Active | |
| Credentials | RD CDE LD | |
| Entity | Individual | |
| Enumeration date | 10/03/2005 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CAROL J SHOULDERS
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