Provider Demographics
NPI:1174797401
Name:STRASSER, SHANNON RENEE (RD)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:RENEE
Last Name:STRASSER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1449 ACORN WAY
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-8325
Mailing Address - Country:US
Mailing Address - Phone:303-949-9735
Mailing Address - Fax:
Practice Address - Street 1:1449 ACORN WAY
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-8325
Practice Address - Country:US
Practice Address - Phone:303-949-9735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered