NPI 1881133270 · live from the CMS NPI Registry
Dawn Marie Brouk, RD,LD,CNSC
Dietitian, Registered, Nutrition, Metabolic in Chesterfield, MO. National Provider Identifier 1881133270, active.
NPI record
| NPI | 1881133270 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Metabolic 133VN1006X |
| Practice location | 16105 Elkton Ct, Chesterfield, MO 63005 |
| Practice phone | 636-399-0421 |
| Enumerated | February 17, 2017 |
| Last updated | February 17, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Metabolic primary | 133VN1006X | 2004028282 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.