NPI 1881101376 · live from the CMS NPI Registry
Julie Brischle, MA, RD, LD
Dietitian, Registered in Park Hills, MO. National Provider Identifier 1881101376, active.
NPI record
| NPI | 1881101376 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1025 W. Main Street, P.O. Box 367, Park Hills, MO 63601 |
| Practice phone | 573-431-1947 |
| Enumerated | January 5, 2018 |
| Last updated | January 5, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2015058682 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.