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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISSA ANN MOORE, B.S.

Active

MARISSA ANN MOORE, B.S. is a Nutritionist healthcare provider located in FLORISSANT, Missouri. NPI 1861153405 is currently active in the NPPES registry. Verify at CMS.

Nutritionist · FLORISSANT, MO

Registration Details

NPI Number
1861153405
Provider Type
Individual
Gender
Female
NPI Issued
Jan 5, 2022 (4.5988604431604 yrs)
Last Updated
Jan 5, 2022

Practice Information

Address
75 DE SMET DR
FLORISSANT, MO, 630318404
Browse MO providers · Browse ZIP 63031
Phone
3143481629
Primary Specialty
Nutritionist
133N00000X
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.