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NPI Code Detail

MEDICARE: SHAREEN NASSER RDN

MEDICARE: SHAREEN NASSER RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1003748039
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAREEN NASSER RDN
Provider Business Mailing Address
First Line : 25403 ELON DR
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3804
Country : US
Telephone Number : 313-467-5845
Fax Number :
Provider Business Practice Location Address
First Line : 25403 ELON DR
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3804
Country : US
Telephone Number : 313-467-5845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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