MRS. STACEY L GRETKA BSHN NPI 1396090155

NPI Information

NPI: 1396090155
Provider Name: MRS. STACEY L GRETKA, BSHN
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
10130 MALLARD CREEK RD
STE 300
CHARLOTTE, NC
ZIP 28262
Phone: (704) 549-9550
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MRS. Stacey L Gretka, BSHN is a nutrition and education nutritionist in Charlotte, NC. MRS. Stacey L Gretka, BSHN NPI is 1396090155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10130 MALLARD CREEK RD
STE 300
CHARLOTTE, NC
ZIP 28262-000
Phone: (704) 549-9550
Fax: (704) 549-9570

The enumeration date for this NPI number is 7/18/2012 and was last updated on 7/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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