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Individual
WADE WARREN
Active
Individual
WADE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
40394-DI-1
NV
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770282469
—
NV
01
—
40394-DI-1
STATE LICENSE
NV
Enumeration date
03/01/2023
Last updated
06/05/2025
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