Provider Demographics
NPI:1669566196
Name:STABLER, MELISSA E (RD,CNSD, MBA)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:E
Last Name:STABLER
Suffix:
Gender:F
Credentials:RD,CNSD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 HESSIAN CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382
Mailing Address - Country:US
Mailing Address - Phone:610-793-6757
Mailing Address - Fax:
Practice Address - Street 1:1601 KIRKWOODWOOD HWY
Practice Address - Street 2:WILMINGTON VAMC
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805
Practice Address - Country:US
Practice Address - Phone:302-633-5442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
10930133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic