IndividualActive
Marissa Moore, B.S.
NPI 1861153405 · Nutritionist · Florissant, MO
Provider details
- NPI number
- 1861153405
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- B.S.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
75 De Smet Dr
Florissant, MO 63031-8404
Phone: (314) 348-1629
Approximate (ZIP-level) locationGet directions
Mailing address
75 De Smet Dr
Florissant, MO 63031-8404
Registry dates
- Enumerated
- 2022-01-05
- Last updated
- 2022-01-05
- Certified
- 2022-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.