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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WAYNE ANTHONY STACKHOUSE

Active Sole Proprietor

WAYNE ANTHONY STACKHOUSE is a Nutritionist healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1073404380 is currently active in the NPPES registry. Verify at CMS.

Nutritionist · PHILADELPHIA, PA

Registration Details

NPI Number
1073404380
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2025 (1.123462260683 yrs)
Last Updated
Jul 14, 2025
Sole Proprietor
Yes

Practice Information

Address
3213 N 27TH ST
PHILADELPHIA, PA, 191291808
Browse PA providers · Browse ZIP 19129
Phone
2677424163
Fax
2677424163
Primary Specialty
Nutritionist
133N00000X

Other Nutritionist Providers in PHILADELPHIA, PA

Name Credential NPI
LINDA E. SARTOR LDN 1962617142
WENDY ROMIG CNS 1295282622
ALEXANDRA GINOS RD 1285150052
CHRISTINE JESSICA LUBY 1699374413
CRISTINA HOYT MS, CNS 1912579871
AMANDA JEANETTE DEVILLIERS CNS, LDN 1265181242
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.