Brandy L Stayman, RD, LDN | |
1165 Imperial Dr Ste 300, Hagerstown, MD 21740-6556 | |
(301) 665-9098 | |
(301) 665-9096 |
Full Name | Brandy L Stayman |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1165 Imperial Dr Ste 300, Hagerstown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104260793 | NPI | - | NPPES |
DX3004 | Other | MD | STATE BOARD OF DIETETIC PRACTICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DX3004 (Maryland) | Primary |
Provider Name | Ilivewell Nutrition Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Brandy L Stayman, RD, LDN 8110 Maple Lawn Blvd Ste 235, Fulton, MD 20759-2694 Ph: (301) 340-8339 | Brandy L Stayman, RD, LDN 1165 Imperial Dr Ste 300, Hagerstown, MD 21740-6556 Ph: (301) 665-9098 |
Mrs. Cynthia Ashton Held, MS RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1140 Opal Court, Hagerstown, MD 21740 Phone: 301-790-1560 Fax: 301-791-6666 | |
Lisa Mccoy, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1302 Pennsylvania Ave, Hagerstown, MD 21742 Phone: 240-313-3300 | |
Ms. Jamie Sutton Deem, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11110 Medical Campus Rd, Suite 108, Hagerstown, MD 21742 Phone: 301-714-4041 Fax: 301-714-4351 | |
Tammy Thornton, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1302 Pennsylvania Ave, Hagerstown, MD 21742 Phone: 240-313-3302 | |
Meritus Endocrinology Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11110 Medical Campus Rd, Suite 108, Hagerstown, MD 21742 Phone: 301-714-4041 Fax: 301-714-4351 | |
Mrs. Cheryl Ann Frushour, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11110 Medical Campus Rd Ste 143, Hagerstown, MD 21742 Phone: 301-714-4350 |