| Stephanie Hassell, RDN | |
|
205 W Millbrook Rd Ste 205, Raleigh, NC 27609-4492 | |
| (919) 781-4500 | |
| Not Available |
| Full Name | Stephanie Hassell |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 1 Years |
| Location | 205 W Millbrook Rd Ste 205, Raleigh, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275429466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | L0093585 (North Carolina) | Primary |
| 133V00000X | Dietitian, Registered | 012997 (New York) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifestyle Nutrition Wny Pllc | 7911283924 | 2 |
| Provider Name | Lifestyle Nutrition Wny PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346794310 PECOS PAC ID: 7911283924 Enrollment ID: O20170405001704 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Hassell, RDN 205 W Millbrook Rd Ste 205, Raleigh, NC 27609-4492 Ph: Not Available | Stephanie Hassell, RDN 205 W Millbrook Rd Ste 205, Raleigh, NC 27609-4492 Ph: (919) 781-4500 |
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