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

STACIA R PURCELL, RD, LD, CDCES

Active Sole Proprietor

STACIA R PURCELL, RD, LD, CDCES is a Registered Dietitian healthcare provider located in ELKTON, Florida. NPI 1093578148 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · ELKTON, FL

Registration Details

NPI Number
1093578148
Provider Type
Individual
Gender
Female
NPI Issued
Feb 1, 2024 (2.5373695676956 yrs)
Last Updated
Feb 15, 2024
License
ND2080 (FL)
Sole Proprietor
Yes

Practice Information

Address
5300 DON MANUEL RD
ELKTON, FL, 320333222
Browse FL providers · Browse ZIP 32033
Phone
9046622887
Primary Specialty
Registered Dietitian
133V00000X
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.