Stacy B Byler, MS, LDN, RD

Individual provider Active NPI Registered Dietitian · Youngsville, LA

NPI 1912295221 · NPPES record last updated Jul 20, 2011

Key facts

NPI
1912295221
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1125 (LA)
Practice address
229 Countryview Dr
Youngsville, LA 70592-5918
Phone
(337) 230-0147
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1125 LA Yes

Addresses

Primary practice location

229 Countryview Dr
Youngsville, LA 70592-5918

Mailing address

229 Countryview Dr
Youngsville, LA 70592-5918
Phone (337) 230-0147

Other providers in Youngsville, LA

All providers in Youngsville, LA · Registered Dietitian in Louisiana

Sources for this page

Verify at the official NPI Registry.