Individual
ELIZABETH NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETITIAN REGISTERED
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6373
Mailing address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6373
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2018028784
MO
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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