Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY MATAVULI
ActiveSTACEY MATAVULI is a Registered Dietitian healthcare provider located in BLOOMINGTON, Indiana. NPI 1144433764 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1144433764
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2007 (19.085704216328 yrs)
- Last Updated
- Jul 8, 2007
- License
-
37001049A (IN)
Practice Information
- Address
-
601 W 2ND STBLOOMINGTON, IN, 474032317Browse IN providers · Browse ZIP 47403
- Phone
- 8123539568
- Fax
- 8123539318
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| MORGAN M FLECK | MS, RD, CD | 1396788964 |
| KATHERINE C MATSON | R.D. | 1427187913 |
| MRS. ROBERTA H SACCONE | R.D. | 1376673996 |
| MRS. SAMANTHA SCHAEFER | MS, RD, LD, FAND | 1558574160 |
| L. SUZANNE HINTON | — | 1144433582 |
| MARY JO MCCLINTIC | — | 1346453958 |
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.