# PENNY JEAN STADICK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1538780598
- **Gender:** F
- **Credential:** HHP,CCAP, CNC, CH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |
| 174H00000X | Health Educator | — | NULL | — |
| 176B00000X | Midwife | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 374J00000X | Doula | — | NULL | — |

## Other

- **Enumeration date:** 04/30/2020
- **Last updated:** 07/19/2021