Stacy Wagner
Stacy Wagner is a Gerontological Nutrition Registered Dietitian in Mission Viejo, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
27216 RegioMission Viejo, CA 92692-3287
Phone: (513) 377-7938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 926900 (CA) |
|---|---|
| Gerontological Nutrition Registered Dietitian | Taxonomy 133VN1101X · Licence 936900 (CA) |
Record details
| NPI number | 1679444756 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 13, 2025 |
| Last updated in NPPES | September 13, 2025 |
| Certification date | September 13, 2025 |