Provider Profile

Shannon RAE MALLORY Hertzog, BS, MS

Unclaimed Profile

About Shannon Hertzog

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Specialty

Registered Dietitian / Nutritionist (Primary)

Credentials & Licensing

WA licenseDI61176521
NPI1124602560
NPI issued05/11/2021

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

What is Shannon RAE MALLORY Hertzog, BS's specialty?

Shannon RAE MALLORY Hertzog, BS is a registered dietitian / nutritionist in Longview, WA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Shannon RAE MALLORY Hertzog, BS?

Shannon RAE MALLORY Hertzog, BS is listed at 1615 Delaware St, Longview, WA 98632. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Shannon RAE MALLORY Hertzog, BS?

The number on file is (360) 501-3601. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Shannon RAE MALLORY Hertzog, BS's NPI number?

Shannon RAE MALLORY Hertzog, BS's National Provider Identifier is 1124602560. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Shannon RAE MALLORY Hertzog, BS been practicing?

Shannon RAE MALLORY Hertzog, BS has 5+ years experience. Registered with an NPI since 2021. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Shannon RAE MALLORY Hertzog, BS confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Shannon RAE MALLORY Hertzog, BS. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.