Stephanie Nicole Southall in Dallas - Nutrition, Pediatric
Stephanie Nicole Southall - NPI 1932390275
Stephanie Nicole Southall is a Nutrition, Pediatric in Dallas, Texas. Stephanie Nicole Southall practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Stephanie Nicole Southall is 1932390275. The last update date is 2009-01-16.
Stephanie Nicole Southall's current location address is 18777 Midway Rd Apt 1310, Dallas, Texas. You can contact this provider via phone number 8178918722. The mailing address for Stephanie Nicole Southall is 18777 Midway Rd Apt 1310, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Nicole Southall |
|---|---|
| Address | 18777 Midway Rd Apt 1310, Dallas, Texas |
| Phone Number | 8178918722 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RD, LD |
NPI Number Detail
| NPI Number | 1932390275 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2009-01-16 |
Provider Mailing Address Detail
| Address | 18777 Midway Rd Apt 1310 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752872742 |
| Phone Number | 8178918722 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | DT80516 |
|
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 |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephanie Nicole Southall by the Centers for Medicare & Medicaid Services?
The Stephanie Nicole Southall has been issued the NPI (National Provider Identifier) 1932390275, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Stephanie Nicole Southall's facilities are geographically located?
The facilities of Stephanie Nicole Southall are physically situated at the following location: 18777 Midway Rd Apt 1310, Dallas, TX, 752872742.
What is Stephanie Nicole Southall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stephanie Nicole Southall is Nutrition, Pediatric, and the corresponding taxonomy classification code for this specialized field is 133Vn1004X.
On what date did the Stephanie Nicole Southall receive the assignment of its 1932390275 from the Centers for Medicare & Medicaid Services?
The Stephanie Nicole Southall was issued its 1932390275 by the Centers for Medicare & Medicaid Services on 2007-08-01.
When was the Stephanie Nicole Southall's information last updated?
The Stephanie Nicole Southall's information was last updated on 2009-01-16.
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