IndividualActive
Stacey Vanderwel, RD, CSP, LDN
NPI 1629231683 · Pediatric Nutrition Registered Dietitian · Charlotte, NC
Provider details
- NPI number
- 1629231683
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CSP, LDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- L002810 (NC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
505 East Blvd
Suite 200
Charlotte, NC 28203-5105
Phone: (704) 542-2512
Approximate (ZIP-level) locationGet directions
Mailing address
7225 Deloach Ct
Charlotte, NC 28270-9514
Registry dates
- Enumerated
- 2008-07-09
- Last updated
- 2008-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.