Healthcare Provider Details

I. General information

NPI: 1285916262
Provider Name (Legal Business Name): STACI H WALDEN MSCN, RD/LDN,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2011
Last Update Date: 10/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 ACADEMY ST
CAMBRIDGE MD
21613-1958
US

IV. Provider business mailing address

417 ACADEMY ST
CAMBRIDGE MD
21613-1958
US

V. Phone/Fax

Practice location:
  • Phone: 410-228-2474
  • Fax:
Mailing address:
  • Phone: 410-228-2474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDX3200
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: