Provider Demographics
NPI:1588114664
Name:SAVITSKI, ANGELA STOLTZ (RDN, LDN)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:STOLTZ
Last Name:SAVITSKI
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 OLDE TOWNE YACHT CLUB RD UNIT 414
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:NC
Mailing Address - Zip Code:28516-8652
Mailing Address - Country:US
Mailing Address - Phone:919-770-5437
Mailing Address - Fax:
Practice Address - Street 1:925 E MAIN ST
Practice Address - Street 2:SUITE 42
Practice Address - City:HAVELOCK
Practice Address - State:NC
Practice Address - Zip Code:28532-2374
Practice Address - Country:US
Practice Address - Phone:252-444-4022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL001541133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered