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

STACEY ANN VANDERWEL, RD, CSP, LDN

Active Sole Proprietor

Pediatric Nutrition · CHARLOTTE, NC

Registration Details

NPI Number
1629231683
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2008 (17.786436528062 yrs)
Last Updated
Jul 9, 2008
License
L002810 (NC)
Sole Proprietor
Yes

Practice Information

Address
505 EAST BLVD
SUITE 200
CHARLOTTE, NC, 282035105
Browse NC providers · Browse ZIP 28203
Phone
7045422512
Primary Specialty
Pediatric Nutrition
133VN1004X

Other Pediatric Nutrition Providers in CHARLOTTE, NC

Name Credential NPI
HOLLY HIRSCH RDN, LDN, CNSC 1023655677
MADELINE WHITE TEGLAND RD 1972234789
KATHERINE SMALL LENARCIC MS RD LDN CNSC 1427784768
ANNE BARRET CAMPBELL BUTLER MPH RD LDN 1114720182
FABIOLA NICOHL QUINONES ROSA RD 1396618252
ISABEL LACEY EASTERLING RD 1053263004
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.