Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY FOGLEMAN
ActivePediatric Nutrition · ST. LOUIS, MO
Registration Details
- NPI Number
- 1669929717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 7, 2016 (9.6220397056288 yrs)
- Last Updated
- Sep 7, 2016
- License
-
2012025314 (MO)
Practice Information
- Address
-
ONE CHILDREN'S PLACEST. LOUIS, MO, 63110Browse MO providers · Browse ZIP 63110
- Phone
- 3144544866
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in ST. LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MARY GILCREASE | MS, RD | 1073069878 |
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.