Individual
MS. MARILYN KAYE TANNER-BLASIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 CHILDRENS PL, DIV PED ENDOCRINOLOGY AND DIABETES, SAINT LOUIS, MO 63110-1002
(314) 454-6051
(314) 454-6225
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6051
(314) 454-6225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2001004545
MO
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2001004545
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350122289
—
MO
Enumeration date
05/12/2020
Last updated
04/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us