Jillian Wagner, RDN, LDN
Dietitian, Registered in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1982184503
StatusActive
Last updated in NPPESAug 14, 2018
Details
- NPI
- 1982184503
- Entity type
- Individual (NPI-1)
- Name
- Jillian Wagner
- Credential
- RDN, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2018
- Last updated
- Aug 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN006463 | PA | Yes |
Practice location
300 Mount Lebanon Blvd Ste 209cPittsburgh, PA 15234-1507
Phone 412-720-3343
Mailing address
211 Avenue ASchuylkill Haven, PA 17972-1302
Phone 570-225-1848
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