Individual provider · Type 1 NPI
Ellen Easley Wallace, CDE, RD, LD
Registered Dietitian · Starkville, MS
Practice location
103 Starr Ave Apt 66
Starkville, MS 39759-4058
Mailing address
PO Box 5333
Mississippi State, MS 39762-5333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | D1317 (MS) |
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 1700178779
Ellen Easley Wallace, CDE, RD, LD's National Provider Identifier is 1700178779, issued on May 10, 2011. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Starkville, MS. The record was last updated on May 10, 2011.