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Teresa L Wagner, DRPH,MS,CPH,RD/LD
Registered Dietitian in Fort Worth, Texas
NPI 1275096364

Teresa L Wagner is a Registered Dietitian based in Fort Worth, TX. Teresa L Wagner practices in Fort Worth, TX and has the professional credentials of DRPH,MS,CPH,RD/LD. The NPI Number for Teresa L Wagner is 1275096364 and holds a License No. DT02954 (Texas).

The current practice location address for Teresa L Wagner is 5841 Recreation Dr Apt 2404, Fort Worth, TX and can be reached out via phone at 817-805-1252.

Location: 5841 Recreation Dr Apt 2404, Fort Worth, TX, 76107-2553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275096364
Provider Name
Teresa L Wagner
Credential
DRPH,MS,CPH,RD/LD
Provider Entity Type
Individual
Gender
Female
Address
5841 Recreation Dr Apt 2404, Fort Worth, TX, 76107-2553
Phone Number
817-805-1252
Fax Number
Provider Enumeration Date
04/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
393 01 TX CERTIFIED COMMUNITY HEALTH WORKER INSTRUCTOR
10551 01 NATIONAL BOARD OF PUBLIC HEALTH EXAMINERS
DT02954 01 TX LICENSED DIETITIAN
709400 01 REGISTERED DIETITIAN
institution
Provider Business Practice Location Address Details
Address
5841 Recreation Dr Apt 2404
City
Fort Worth
State
Texas
Zip
76109-1068
Phone Number
817-805-1252
Fax Number
person
Provider Business Mailing Address Details
Address
5841 Recreation Dr Apt 2404
City
Fort Worth
State
Texas
Zip
76109-1068
Phone Number
817-805-1252
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
DT02954 (Texas)
Definition
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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
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