Individual
WADE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
2880 N TENAYA WAY STE 320, LAS VEGAS, NV 89128-0642
(702) 862-8226
(702) 862-8227
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
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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