IndividualActive
Tanya Ortiz, LICENSED DIETITIAN
NPI 1174757868 · Nutritionist · St. Louis, MO
Provider details
- NPI number
- 1174757868
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- LICENSED DIETITIAN
- Sex
- Female
- Sole proprietor
- No
- License
- 2004008861 (MO)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2200 Lemp
St. Louis, MO 63104
Phone: (314) 814-8556
Fax: (314) 814-8542
Approximate (ZIP-level) locationGet directions
Mailing address
2220 Lemp Ave
Saint Louis, MO 63104-2700
Registry dates
- Enumerated
- 2009-05-08
- Last updated
- 2009-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.