Wagner, Jennifer Anne

Wagner, Jennifer Anne is an individual health care provider with primary practice located at 13801 Walsingham Rd # A-164 , Largo FL 33774-3237. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wagner, Jennifer Anne can be contacted via phone (206) 226-1664.

Contact Information

Primary practice address
13801 Walsingham Rd # A-164 Largo FL 33774-3237
Phone: (206) 226-1664
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 11315 Florida

Profile Details

NPI number 1336865104
LBN Legal business name Wagner, Jennifer Anne
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2022
Last updated Mar 14th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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