Individual
MRS. STEPHANIE MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RDN LDN
Contact information
Practice address
7318 W 54TH ST, OVERLAND PARK, KS 66202-1203
(405) 623-3399
Mailing address
7318 W 54TH ST, OVERLAND PARK, KS 66202-1203
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
1857
KS
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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