Provider Demographics
NPI:1184937187
Name:CHATELLIER, ELIZABETH K (MA, RDN, LD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:K
Last Name:CHATELLIER
Suffix:
Gender:F
Credentials:MA, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5633 SE FOXCROSS PL
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-8044
Mailing Address - Country:US
Mailing Address - Phone:772-224-0850
Mailing Address - Fax:
Practice Address - Street 1:5633 SE FOXCROSS PL
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-8044
Practice Address - Country:US
Practice Address - Phone:772-224-0850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1034191133V00000X
133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered