Provider Demographics
NPI:1588064125
Name:NAUGHTON, SHELBY ELIZABETH (MS RD LDN)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:ELIZABETH
Last Name:NAUGHTON
Suffix:
Gender:F
Credentials:MS RD LDN
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Mailing Address - Street 1:NAVAL MEDICAL CTR
Mailing Address - Street 2:34800 BOB WILSON DRIVE
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-5000
Mailing Address - Country:US
Mailing Address - Phone:619-532-9529
Mailing Address - Fax:619-532-6899
Practice Address - Street 1:NAVAL MEDICAL CTR
Practice Address - Street 2:34800 BOB WILSON DRIVE
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-5000
Practice Address - Country:US
Practice Address - Phone:619-532-9529
Practice Address - Fax:619-532-6899
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2015-05-29
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Provider Licenses
StateLicense IDTaxonomies
PADN005451133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered