Individual provider · Type 1 NPI

Shelley Renee Wallace, MPH, RD, CN

Registered Dietitian · Tacoma, WA

NPI number 1295030948 Active

Practice location

2209 E 32nd St
Tacoma, WA 98404-4922

Fax (253) 382-2094

Specialties and licenses

TaxonomyCodeLicense
Nutritionist 133N00000XNU 60064646 (WA)
Registered Dietitian Primary 133V00000X00881196 (WA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1295030948

Shelley Renee Wallace, MPH, RD, CN's National Provider Identifier is 1295030948, issued on Jan 11, 2011. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Tacoma, WA. The record was last updated on Jan 11, 2011.