Provider Demographics
NPI:1922708452
Name:STOLAR, NANCI ANN
Entity Type:Individual
Prefix:
First Name:NANCI
Middle Name:ANN
Last Name:STOLAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 BOYLSTON ST APT 1410
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2014
Mailing Address - Country:US
Mailing Address - Phone:973-216-4977
Mailing Address - Fax:
Practice Address - Street 1:160 BOYLSTON ST APT 1410
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2014
Practice Address - Country:US
Practice Address - Phone:973-216-4977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALDN6584133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered