Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY GILCREASE, MS, RD
Active Sole ProprietorPediatric Nutrition · ST. LOUIS, MO
Registration Details
- NPI Number
- 1073069878
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2016 (9.6412104862666 yrs)
- Last Updated
- Aug 31, 2016
- License
-
2001031083 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 CHILDREN'S PLACEST. LOUIS, MO, 631101077Browse MO providers · Browse ZIP 63110
- Phone
- 3144544760
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in ST. LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MARY FOGLEMAN | — | 1669929717 |
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.