Sharon Azucena, RDN

Individual provider Active NPI Registered Dietitian · Tamuning, GU

NPI 1548823404 · NPPES record last updated Apr 17, 2019

Key facts

NPI
1548823404
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
D15 (GU)
Practice address
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone
(671) 647-2179
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D15GUMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D15 GU Yes

Addresses

Primary practice location

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128

Mailing address

PO Box 7391
Tamuning, GU 96931-7391
Phone (671) 647-8888

Other providers in Tamuning, GU

All providers in Tamuning, GU · Registered Dietitian in Guam

Sources for this page

Verify at the official NPI Registry.