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NPI Code Detail

MEDICARE: JULIE M SHEREDA

MEDICARE: JULIE M SHEREDA
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
1133NN1002XNutrition Education Nutritionist
2133V00000XRegistered Dietitian
3133N00000XNutritionist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023260494
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE M SHEREDA
Provider Business Mailing Address
First Line : 27301 DEQUINDRE RD
Second Line : 306
City : MADISON HEIGHTS
State : MI
Zip : 48071-3473
Country : US
Telephone Number : 248-546-1171
Fax Number : 248-546-1288
Provider Business Practice Location Address
First Line : 5758 COOLEY LAKE RD
Second Line :
City : WATERFORD
State : MI
Zip : 48327-3073
Country : US
Telephone Number : 855-466-3631
Fax Number : 810-244-0226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2008
Last Update Date : 03/04/2024

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