Provider Demographics
NPI:1225700511
Name:STCLAIR, ASHLEY (MS, NTP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:STCLAIR
Suffix:
Gender:F
Credentials:MS, NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 PARMA CT
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-3742
Mailing Address - Country:US
Mailing Address - Phone:972-948-1148
Mailing Address - Fax:
Practice Address - Street 1:1500 PARMA CT
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-3742
Practice Address - Country:US
Practice Address - Phone:972-948-1148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education