Provider Demographics
NPI:1831380567
Name:EILERS, STACY RENEE (RD)
Entity type:Individual
Prefix:MS
First Name:STACY
Middle Name:RENEE
Last Name:EILERS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL DR STE 3200
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4550
Mailing Address - Country:US
Mailing Address - Phone:828-213-3483
Mailing Address - Fax:828-213-4746
Practice Address - Street 1:2755 S HIGHWAY 14 STE 2500
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-4941
Practice Address - Country:US
Practice Address - Phone:864-849-9339
Practice Address - Fax:864-849-9339
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
156133V00000X
133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered