Provider Demographics
NPI:1548421829
Name:HILL, SHAUNA CHRISTINE (RD, LD)
Entity Type:Individual
Prefix:MS
First Name:SHAUNA
Middle Name:CHRISTINE
Last Name:HILL
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3065 ARLINGTON AVE
Mailing Address - Street 2:HEALTH SCIENCE CAMPUS MAIL STOP 1062
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2570
Mailing Address - Country:US
Mailing Address - Phone:419-383-4585
Mailing Address - Fax:419-383-3112
Practice Address - Street 1:3065 ARLINGTON AVE
Practice Address - Street 2:HEALTH SCIENCE CAMPUS MAIL STOP 1062
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2570
Practice Address - Country:US
Practice Address - Phone:419-383-4585
Practice Address - Fax:419-383-3112
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.5864133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered