Provider Demographics
NPI:1013149509
Name:MCFARLAND, STACHA LEANN (DIETICIAN)
Entity Type:Individual
Prefix:MS
First Name:STACHA
Middle Name:LEANN
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:DIETICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 HAYMONT CIR
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-5608
Mailing Address - Country:US
Mailing Address - Phone:731-642-5358
Mailing Address - Fax:
Practice Address - Street 1:131 HAYMONT CIR
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-5608
Practice Address - Country:US
Practice Address - Phone:731-642-5358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN903133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered