Provider Demographics
NPI:1457639106
Name:SHTEYMAN, NATELLA (RD)
Entity Type:Individual
Prefix:MRS
First Name:NATELLA
Middle Name:
Last Name:SHTEYMAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 JENNIFER CT
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2560
Mailing Address - Country:US
Mailing Address - Phone:732-910-5074
Mailing Address - Fax:
Practice Address - Street 1:11 JENNIFER CT
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2560
Practice Address - Country:US
Practice Address - Phone:732-910-5074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ832508133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered