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Stacey Ann Vanderwel, RD,CSP,LDN
Pediatric Nutrition Registered Dietitian in Charlotte, North Carolina
NPI 1629231683

Stacey Ann Vanderwel is a Pediatric Nutrition Registered Dietitian based in Charlotte, NC and is specialized in Nutrition, Pediatric. Stacey Ann Vanderwel practices in Charlotte, NC and has the professional credentials of RD,CSP,LDN. The NPI Number for Stacey Ann Vanderwel is 1629231683 and holds a License No. L002810 (North Carolina).

The current practice location address for Stacey Ann Vanderwel is 505 East Blvd, Charlotte, NC and can be reached out via phone at 704-542-2512. You can also correspond with Stacey Ann Vanderwel through the mailing address at 7225 DELOACH CT, CHARLOTTE, NC - 28270-9514 (mailing address contact number: 704-340-1604).

Location: 505 East Blvd, Charlotte, NC, 28270-9514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629231683
Provider Name
Stacey Ann Vanderwel
Credential
RD,CSP,LDN
Provider Entity Type
Individual
Gender
Female
Address
505 East Blvd, Charlotte, NC, 28270-9514
Phone Number
704-542-2512
Fax Number
Provider Enumeration Date
07/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
505 East Blvd
City
Charlotte
State
North Carolina
Zip
28203-5105
Phone Number
704-542-2512
Fax Number
person
Provider Business Mailing Address Details
Address
505 East Blvd
City
Charlotte
State
North Carolina
Zip
28203-5105
Phone Number
704-542-2512
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
L002810 (North Carolina)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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