Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA CLARK, RD, LD
ActivePediatric Nutrition · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1063863959
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2016 (9.8329988246862 yrs)
- Last Updated
- Jun 22, 2016
- License
-
133VN1004X (MO)
Practice Information
- Address
-
1 CHILDRENS PLFOOD AND NUTRITION LS-15SAINT LOUIS, MO, 631101002Browse MO providers · Browse ZIP 63110
- Phone
- 3144542648
- Fax
- 3144542557
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MARGARET LAKE | — | 1336167014 |
| MRS. CASSANDRA L SAXON | R.D. | 1215147848 |
| MS. JAMIE LOUISE NILSON | RD | 1225303290 |
| MS. JULIE ANN CAPPELLETTI-BROWN | RD | 1659715605 |
| ANNE TURNER | — | 1336574987 |
| MS. RACHEL BELL PARKS | RD | 1992167019 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.