Individual provider · Type 1 NPI
Stacy Wagner
Registered Dietitian · Mission Viejo, CA
Practice location
27216 Regio
Mission Viejo, CA 92692-3287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontological Nutrition Registered Dietitian | 133VN1101X | 936900 (CA) |
| Registered Dietitian Primary | 133V00000X | 926900 (CA) |
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 1679444756
Stacy Wagner's National Provider Identifier is 1679444756, issued on Sep 13, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Mission Viejo, CA. The record was last updated on Sep 13, 2025.