Provider Demographics
NPI:1578894242
Name:SHOENBERGER, KRISTINE T (MS, RD)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:T
Last Name:SHOENBERGER
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 PRINGLE WAY
Mailing Address - Street 2:SUITE 804
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1464
Mailing Address - Country:US
Mailing Address - Phone:775-982-2952
Mailing Address - Fax:775-829-7970
Practice Address - Street 1:75 PRINGLE WAY
Practice Address - Street 2:SUITE 1002
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1475
Practice Address - Country:US
Practice Address - Phone:775-323-7500
Practice Address - Fax:775-336-3345
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV966198133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered