IndividualActive
Stacy Phillips
NPI 1770098394 · Nutritionist · Incline Village, NV
Provider details
- NPI number
- 1770098394
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- NU100000198 (DC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
571 Rockrose Ct
Incline Village, NV 89451-8300
Phone: (805) 704-7193
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 124
Moffett Field, CA 94035-0124
Registry dates
- Enumerated
- 2017-12-05
- Last updated
- 2020-07-27
- Certified
- 2020-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.