Individual
MS. MARGARET MARY NEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3660 VISTA AVE, SAINT LOUIS, MO 63110-2540
(314) 977-6095
(314) 577-6721
Mailing address
3691 RUTGER ST, PROVIDER ENROLLMENT, SAINT LOUIS, MO 63110-2515
(314) 977-6828
(314) 977-6777
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2004019594
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358760205
—
MO
Enumeration date
11/09/2007
Last updated
11/09/2007
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