| Doctor Name: | STACY SPADARO |
| NPI Number: | 1033539291 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | DN005206 |
| Business Practice Address: | 155 Towne Centre Dr Wexford, PA - 150905613 |
| Business Phone Number: | 7249340155 |
| Business Fax Number: | |
| Mailing Address: | 155 Towne Centre Dr, WEXFORD |
| State: | PA |
| Postal Code: | 150905613 |
| Phone Number: | 7249340155 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2014 |
| NPI Last Update Date: | 04/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | DN005206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |