Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE ANDERSON
ActivePediatric Critical Care Nutrition · CORPUS CHRISTI, TX
Registration Details
- NPI Number
- 1851164107
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2023 (2.4770663801165 yrs)
- Last Updated
- Oct 30, 2023
- License
-
DT86574 (TX)
Practice Information
- Address
-
3533 S ALAMEDA STCORPUS CHRISTI, TX, 784111721Browse TX providers · Browse ZIP 78411
- Phone
- 7348902132
- Primary Specialty
-
Pediatric Critical Care Nutrition
133VN1401X
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.