NPI 1750004123 · live from the CMS NPI Registry
Ellen Beuligmann
Dietitian, Registered in Saint Louis, MO. National Provider Identifier 1750004123, active.
NPI record
| NPI | 1750004123 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 9038 Whitehaven Dr, Saint Louis, MO 63123 |
| Practice phone | 314-471-7193 |
| Enumerated | September 21, 2022 |
| Last updated | September 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.