Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS CASANDRA RENEE STIDHAM, MS, RD, CSR, CCTD
Active Sole ProprietorMISS CASANDRA RENEE STIDHAM, MS, RD, CSR, CCTD is a Renal Nutrition healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1134803497 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1134803497
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2023 (3.1816501981943 yrs)
- Last Updated
- Jun 14, 2023
- License
-
86025925
- Sole Proprietor
- Yes
Practice Information
- Address
-
2110 E NORRIS ST UNIT 301PHILADELPHIA, PA, 191251946Browse PA providers · Browse ZIP 19125
- Phone
- 8128966236
- Primary Specialty
-
Renal Nutrition
133VN1005X
- Additional Specialty
- Renal Nutrition
Other Renal Nutrition Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| LINDA M. ROBERTO | MNT | 1376516997 |
| JESSICA A. INGRAM | MNT | 1639142250 |
| TIFFANY A DONAHUE | LDN | 1285059022 |
| WANDA K ROONEY | LDN | 1518382340 |
| BRITTANY DOROTHY LUCCHETTO | — | 1750730156 |
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.