NPI 1932104544 · live from the CMS NPI Registry
Danielle R. Braden-Moll, RD, LD, CDE
Dietitian, Registered in Springfield, MO. National Provider Identifier 1932104544, active.
NPI record
| NPI | 1932104544 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 960 E. Walnut Lawn, Suite 201, Springfield, MO 65807 |
| Practice phone | 417-269-4450 |
| Mailing address | Po Box 802843, Kansas City, MO 64180 |
| Enumerated | June 20, 2005 |
| Last updated | September 22, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2002004929 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.