MEDICARE: ELLE STUART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1114851235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLE STUART

Provider Business Mailing Address
First Line	:	2517 DELANEY AVE
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-6003
Country	:	US
Telephone Number	:	910-399-6552
Fax Number	:

Provider Business Practice Location Address
First Line	:	2517 DELANEY AVE
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-6003
Country	:	US
Telephone Number	:	910-399-6552
Fax Number	:	877-889-2993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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Directions to “ ELLE STUART ” Practice Location

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