Stacy L. Wagner in Huntsville - Dietitian, Registered
Stacy L. Wagner - NPI 1932205242
Stacy L. Wagner is a Dietitian, Registered in Huntsville, Texas. Stacy L. Wagner practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Stacy L. Wagner is 1932205242. The last update date is 2007-07-08.
Stacy L. Wagner's current location address is 110 Memorial Hospital Dr., Huntsville, Texas. You can contact this provider via phone number 9362914525. The mailing address for Stacy L. Wagner is 110 Memorial Hospital Dr., Huntsville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy L. Wagner |
|---|---|
| Address | 110 Memorial Hospital Dr., Huntsville, Texas |
| Phone Number | 9362914525 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD LD |
NPI Number Detail
| NPI Number | 1932205242 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 110 Memorial Hospital Dr. |
|---|---|
| City | Huntsville |
| State | Texas (TX) |
| Post Code | 77340 |
| Phone Number | 9362914525 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | DT04058 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique 10-digit identifier code assigned to Stacy L. Wagner by the Centers for Medicare & Medicaid Services?
The Stacy L. Wagner has been issued the NPI (National Provider Identifier) 1932205242 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Stacy L. Wagner?
The Stacy L. Wagner is situated at 110 Memorial Hospital Dr., in the city of Huntsville, state of TX, with the zip code 77340.
What is Stacy L. Wagner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacy L. Wagner is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.
When did Stacy L. Wagner receive its 1932205242 assignment?
The Stacy L. Wagner was assigned its 1932205242 on 2006-09-15, which is the date when this unique identifier was issued to the organization.
When was the information regarding Stacy L. Wagner most recently updated?
The details pertaining to the Stacy L. Wagner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.