IndividualActive
Pamela Russell, R.D., L.D.
NPI 1083892632 · Registered Dietitian · Berkeley, MO
Provider details
- NPI number
- 1083892632
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D., L.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2008001872 (MO)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
6065 Helen Ave
Berkeley, MO 63134-2013
Phone: (314) 522-6410
Approximate (ZIP-level) locationGet directions
Mailing address
6065 Helen Ave
Berkeley, MO 63134-2013
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2008-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.