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NPI Code Detail

MEDICARE: SHANA NUTRITION LLC

MEDICARE: SHANA NUTRITION LLC
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 : 1215875430
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHANA NUTRITION LLC
Provider Business Mailing Address
First Line : 218 MAIN ST # 617
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-6108
Country : US
Telephone Number : 206-786-2205
Fax Number :
Provider Business Practice Location Address
First Line : 7301 WINONA AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-5119
Country : US
Telephone Number : 206-786-2205
Fax Number :
Authorized Official
Title or Position : REGISTERED DIETITIAN NUTRITIONIST
Name : SHAHNAZ ESHGHALI FARAHANI
Credential : MS, RDN
Telephone Number : 206-786-2205
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “SHANA NUTRITION LLC ” Practice Location

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