Provider Demographics
NPI:1265167936
Name:SLONAKER, RENEE P (MS, CNS, LDN)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:P
Last Name:SLONAKER
Suffix:
Gender:F
Credentials:MS, CNS, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 925
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-0925
Mailing Address - Country:US
Mailing Address - Phone:860-248-1126
Mailing Address - Fax:
Practice Address - Street 1:12 GILMORE AVE
Practice Address - Street 2:
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1408
Practice Address - Country:US
Practice Address - Phone:860-248-1126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist