NPI 1073404380

Wayne Anthony Stackhouse

Practitioner Nutritionist Philadelphia, PA

Practice location

Address: 3213 N 27th St, Philadelphia, PA 19129-1808
Phone: (267) 742-4163
Fax: (267) 742-4163

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

Other Nutritionist providers in Pennsylvania →

Registry record

NPI: 1073404380
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2025
Record last updated: 14 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.