Individual provider · Type 1 NPI

Stacey Ann Vanderwel, RD, CSP, LDN

Pediatric Nutrition Registered Dietitian · Charlotte, NC

NPI number 1629231683 Active

Practice location

505 East Blvd, Suite 200
Charlotte, NC 28203-5105

Call (704) 542-2512 Map

Mailing address

7225 Deloach Ct
Charlotte, NC 28270-9514

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XL002810 (NC)

Pediatric Nutrition Registered Dietitian: 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, educatio…

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About NPI 1629231683

Stacey Ann Vanderwel, RD, CSP, LDN's National Provider Identifier is 1629231683, issued on Jul 9, 2008. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Charlotte, NC. The record was last updated on Jul 9, 2008.