Individual
MS. ANDREA NICHOLE MCGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN/LD
Contact information
Practice address
15542 OLD OAK CT, GULFPORT, MS 39503-9096
(417) 825-8847
Mailing address
15542 OLD OAK CT, GULFPORT, MS 39503-9096
(417) 825-8847
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2010001121
MO
133V00000X
Registered Dietitian
Primary
D-2179
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133V00000X
—
MO
Enumeration date
06/18/2010
Last updated
03/17/2025
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