Individual
WHITNEY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1211 21ST AVE S STE 607, NASHVILLE, TN 37212-2718
(615) 936-3952
Mailing address
1211 21ST AVE S STE 607, NASHVILLE, TN 37212-2718
(615) 936-3952
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4263
TN
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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