Stacy Lynn Pruitt in Beaumont - Dietitian, Registered
Stacy Lynn Pruitt - NPI 1386708691
Stacy Lynn Pruitt is a Dietitian, Registered in Beaumont, Texas. Stacy Lynn Pruitt practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Stacy Lynn Pruitt is 1386708691. The last update date is 2008-04-24.
Stacy Lynn Pruitt's current location address is 3030 North St, Beaumont, Texas. You can contact this provider via phone number 4098922111 and fax number 4098133848. The mailing address for Stacy Lynn Pruitt is 3030 North St, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Lynn Pruitt |
|---|---|
| Address | 3030 North St, Beaumont, Texas |
| Phone Number | 4098922111 |
| Fax Number | 4098133848 |
| Sole Proprietor | N |
| Credentials | RD, LD |
NPI Number Detail
| NPI Number | 1386708691 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2008-04-24 |
Provider Mailing Address Detail
| Address | 3030 North St |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777021433 |
| Phone Number | 4098922111 |
| Fax Number | 4098133848 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | DT07468 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique identifier code issued to Stacy Lynn Pruitt by the Centers for Medicare & Medicaid Services?
The Stacy Lynn Pruitt has been assigned the NPI (National Provider Identifier) 1386708691. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stacy Lynn Pruitt's physical address?
The Stacy Lynn Pruitt is physically located at 3030 North St, in the city of Beaumont, TX, with the postal code 777021433.
What is Stacy Lynn Pruitt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacy Lynn Pruitt is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386708691 to Stacy Lynn Pruitt?
The Centers for Medicare & Medicaid Services originally issued the 1386708691 to Stacy Lynn Pruitt on 2006-12-21.
When was the Stacy Lynn Pruitt's information last updated?
The Stacy Lynn Pruitt's information was last updated on 2008-04-24.
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