Individual
MIKAYLA MAE STIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RDN, LDN
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0076
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
ND12437
—
133V00000X
Registered Dietitian
Primary
ND12437
FL
Other
Enumeration date
10/17/2023
Last updated
04/10/2026
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