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Contact Information

SHANNON NOLDER
1401 W PATRICIA AVE
WASILLA, AK99654-6241
 Phone: 907-250-8381
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health & Wellness Coach

171400000X
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for SHANNON NOLDER · (Female)

NPI Number 1104634716
Status Active
Credentials
Entity Individual
Enumeration date 12/28/2024
Last updated 12/28/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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