Provider Demographics
NPI:1093187569
Name:SHORENSTEIN, CLAIRE (MS, RD, CSSD, CDN)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:SHORENSTEIN
Suffix:
Gender:F
Credentials:MS, RD, CSSD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 VIA LANTANA
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-5835
Mailing Address - Country:US
Mailing Address - Phone:831-566-4442
Mailing Address - Fax:
Practice Address - Street 1:134 VIA LANTANA
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-5835
Practice Address - Country:US
Practice Address - Phone:831-566-4442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-23
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133N00000XDietary & Nutritional Service ProvidersNutritionist