NPI 1336395839 · live from the CMS NPI Registry
Nancy Claire Bradley, R.D., L.D., C.D.E.
Dietitian, Registered in Creve Coeur, MO. National Provider Identifier 1336395839, active.
NPI record
| NPI | 1336395839 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1020 N Mason Rd, Professional Building 3, Suite 200, Creve Coeur, MO 63141 |
| Practice phone | 314-996-3206 |
| Enumerated | August 15, 2008 |
| Last updated | February 24, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2001008301 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.