Provider Demographics
NPI:1598103343
Name:SCHREINER, SHANNON AMBER (RD, LDN)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:AMBER
Last Name:SCHREINER
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7558 HALEY LN
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29707-6828
Mailing Address - Country:US
Mailing Address - Phone:216-370-1734
Mailing Address - Fax:
Practice Address - Street 1:7558 HALEY LN
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29707-6828
Practice Address - Country:US
Practice Address - Phone:216-370-1734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004771133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty