Doctor Name: | MS. CAROLINE MARGARET MARY VAN MARRELO |
NPI Number: | 1083730774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS RD LD |
License Number: | 2001001879 |
Business Practice Address: | 4580 S Lindbergh Blvd Saint Louis, MO - 631271810 |
Business Phone Number: | 3148421300 |
Business Fax Number: | |
Mailing Address: | 816 N Bompart Ave, WEBSTER GROVES |
State: | MO |
Postal Code: | 631191953 |
Phone Number: | 3179630916 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2001001879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |