Individual
SALLY CHAPMAN HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LD/N
Contact information
Practice address
501 SE OSCEOLA ST, STUART, FL 34994-2301
(772) 223-5945
(772) 288-5871
Mailing address
PO BOX 9033, STUART, FL 34995-9033
(772) 223-5680
(772) 223-5662
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND4345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND 4345
FL LICENSE
FL
Enumeration date
07/27/2006
Last updated
11/28/2007
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