Individual provider · Type 1 NPI

Cindy Jean Andrews Wallace, R.D., L.D.N., M.B.A

Registered Dietitian · Bossier City, LA

NPI number 1497001333 Active

Practice location

3022 Old Minden Rd
Bossier City, LA 71112-2477

Fax (318) 741-7441

Mailing address

352 Merritt Rd
Benton, LA 71006-4319

Specialties and licenses

TaxonomyCodeLicense
Nutritionist 133N00000X601842 (LA)
Registered Dietitian Primary 133V00000X601842 (LA)

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 1497001333

Cindy Jean Andrews Wallace, R.D., L.D.N., M.B.A's National Provider Identifier is 1497001333, issued on Jul 30, 2012. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Bossier City, LA. The record was last updated on Jul 30, 2012.