| Cassandra Marie Shallenberger, RD, LD | |
|
919 Northland Dr, Princeton, MN 55371-2172 | |
| (763) 502-4877 | |
| Not Available |
| Full Name | Cassandra Marie Shallenberger |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 919 Northland Dr, Princeton, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164180709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2876 (Minnesota) | Primary |
| Provider Name | Fairview Clinics |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Provider Name | Fairview Express Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Marie Shallenberger, RD, LD 919 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 502-4877 | Cassandra Marie Shallenberger, RD, LD 919 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 502-4877 |
Janel Marie Hemmesch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-6367 | |
Mary F Roy, RD-LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-3344 | |
Juliann Hazelrigg Shobe, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-6367 | |
Jayme Baldwin, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-6367 | |
Morgan Taubel, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-6367 Fax: 763-389-6664 |