| Stephanie Shryock, | |
|
3449 Rezanof Dr E, Kodiak, AK 99615-6952 | |
| (907) 486-9800 | |
| Not Available |
| Full Name | Stephanie Shryock |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3449 Rezanof Dr E, Kodiak, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437535010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 101908 (Alaska) | Primary |
| Provider Name | Kodiak Area Native Association |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679514236 PECOS PAC ID: 8426959297 Enrollment ID: O20041004000838 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Shryock, 3449 Rezanof Dr E, Kodiak, AK 99615-6952 Ph: () - | Stephanie Shryock, 3449 Rezanof Dr E, Kodiak, AK 99615-6952 Ph: (907) 486-9800 |
Rhonda A Hayhurst, MNT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-3281 Fax: 907-486-9546 | |
Heather Mary Preece, MHSC, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-3281 Fax: 907-486-9546 | |
Anthony Nevin, Dietitian Medicare: May Accept Medicare Assignments Practice Location: 1911 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-481-5000 | |
Belinda K Chambers, MS, RD, LCSW Dietitian Medicare: Medicare Enrolled Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-481-2400 | |
Gloria Y Scalzo, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2490 Spruce Cape Rd, Kodiak, AK 99615 Phone: 907-486-0466 |