NPI 1063324101 · live from the CMS NPI Registry
Staci Lynn Brugger, RD, LD
Dietitian, Registered in Cape Girardeau, MO. National Provider Identifier 1063324101, active.
NPI record
| NPI | 1063324101 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 228 Alpine Dr, Cape Girardeau, MO 63701 |
| Practice phone | 573-382-0410 |
| Enumerated | September 22, 2026 |
| Last updated | September 22, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2018034594 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.