| Shannon Rae Heffern, RD | |
|
1200 N. Beaver, Flagstaff, AZ 86001 | |
| (928) 214-2800 | |
| (928) 773-2421 |
| Full Name | Shannon Rae Heffern |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1200 N. Beaver, Flagstaff, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760744130 | NPI | - | NPPES |
| 233789 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 706932 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Rae Heffern, RD 1200 N. Beaver, Payer Credentialing, Flagstaff, AZ 86001 Ph: (928) 213-6235 | Shannon Rae Heffern, RD 1200 N. Beaver, Flagstaff, AZ 86001 Ph: (928) 214-2800 |
Tanya Lee Morgan Tweed, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2441 | |
Ms. Gayle Marie Baingo, R.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1210 W Davis Way, Flagstaff, AZ 86001 Phone: 928-380-1610 Fax: 928-380-1610 | |
Ms. Robin A Aufdenkampe, MS,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff Medical Center, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Lorraine Damiani Crim, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 718 W Grand Canyon Ave, Flagstaff, AZ 86001 Phone: 928-853-3568 | |
Angela Hansen, RD, IBCLC Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1215 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2200 Fax: 928-773-2300 | |
Heidi Bringhurst, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-606-3916 | |
Brittany Dilley, RDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-773-2084 |