Individual
STACEY M HIRSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNLP, CFNC, CHHP
Contact information
Practice address
4200 HEATHGATE LN, RALEIGH, NC 27613-2503
(919) 602-6562
Mailing address
4200 HEATHGATE LN, RALEIGH, NC 27613-2503
(919) 602-6562
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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