Individual
STACY SHAPPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CSO
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
2213 LILYFORD LN, APEX, NC 27502-6267
(469) 261-0129
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
885129
—
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
885129
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
885129
CDR - DIETETIC REGISTRATION
—
01
—
L004809
NORTH CAROLINA BOARD OF DIETETICS/NUTRITION
NC
Enumeration date
09/01/2023
Last updated
09/01/2023
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