NPI 1548098346 · live from the CMS NPI Registry
Bailley Boyer, RD, LD
Dietitian, Registered in Bridgeton, MO. National Provider Identifier 1548098346, active.
NPI record
| NPI | 1548098346 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 12303 De Paul Dr, Bridgeton, MO 63044 |
| Practice phone | 314-344-6000 |
| Mailing address | 718 Apricot Dr, Saint Charles, MO 63301 |
| Enumerated | July 23, 2024 |
| Last updated | July 23, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2024029346 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.