IndividualActive
Shane Brill
NPI 1619834694 · Nutrition Education Nutritionist · Chestertown, MD
Provider details
- NPI number
- 1619834694
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
116 Pine St
Chestertown, MD 21620-1209
Phone: (410) 322-5268
Approximate (ZIP-level) locationGet directions
Mailing address
116 Pine St
Chestertown, MD 21620-1209
Registry dates
- Enumerated
- 2026-01-09
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.