Doctor Name: | STACI MARIE EL MERNISSI |
NPI Number: | 1740213404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | |
Business Practice Address: | 5201 Raymond St Orlando Va Medical Center Orlando, FL - 32803 |
Business Phone Number: | 4076291599 |
Business Fax Number: | |
Mailing Address: | 5201 Raymond St, Orlando Va Medical Center ORLANDO |
State: | FL |
Postal Code: | 32803 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 07/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |