Individual
STACY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 21ST AVE S STE 201, NASHVILLE, TN 37212-5315
(615) 861-9146
Mailing address
10638 HUNTERS CROSSING BLVD, INDIANAPOLIS, IN 46239-9747
(317) 371-1437
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
37003055A
IN
133V00000X
Registered Dietitian
Primary
LDN0000004023
TN
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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