IndividualActive
Abigail Malloy, RDN, LDN
NPI 1073110367 · Registered Dietitian · O Fallon, MO
Provider details
- NPI number
- 1073110367
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN, LDN
- Sex
- Female
- Sole proprietor
- No
- License
- 2019029423 (MO)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
713 Hawk Run Dr
O Fallon, MO 63368-3778
Phone: (636) 697-8118
Approximate (ZIP-level) locationGet directions
Mailing address
713 Hawk Run Dr
O Fallon, MO 63368-3778
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.