Provider Demographics
NPI:1538037155
Name:SHAFFNER, CAMERON ELIZABETH (MPH, RD)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:ELIZABETH
Last Name:SHAFFNER
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4930 WAKEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-7630
Mailing Address - Country:US
Mailing Address - Phone:704-654-7147
Mailing Address - Fax:
Practice Address - Street 1:4930 WAKEFIELD DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-7630
Practice Address - Country:US
Practice Address - Phone:704-654-7147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC008861133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered