Organization
EQUIPPED WELLNESS LLC
Active
Organization
EQUIPPED WELLNESS LLC
Active
Other names
Equipped Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH EBOAGU MCN, LD, RD (OWNER/LEAD DIETITIAN)
(972) 989-2971
Entity
Organization
Contact information
Practice address
905 GLEN LAKES CT, WYLIE, TX 75098-7317
(972) 989-2971
Mailing address
905 GLEN LAKES CT, WYLIE, TX 75098-7317
(972) 989-2971
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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