Individual
CATHERINE SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RDN, LD
Contact information
Practice address
12634 OLIVE BLVD, CREVE COEUR, MO 63141-6337
(314) 996-8636
Mailing address
12634 OLIVE BLVD, CREVE COEUR, MO 63141-6337
(314) 996-8636
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2016012055
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016012055
MO LICENSURE
MO
01
—
86050117
CDR
—
Enumeration date
12/09/2022
Last updated
12/09/2022
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