Individual provider · Type 1 NPI

Shannon Michelle Sundberg, MS, RD, CD

Pediatric Nutrition Registered Dietitian · Salt Lake City, UT

NPI number 1154670503 Active

Practice location

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Call (801) 277-1207 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004X3781234901 (UT)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1154670503

Shannon Michelle Sundberg, MS, RD, CD's National Provider Identifier is 1154670503, issued on Aug 30, 2012. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 30, 2012.