MRS. DAWN MARIE BROUK


Address: 16105 Elkton Ct, Chesterfield, MO 63005-6901
Phone: 6363990421

MRS. DAWN MARIE BROUK (NPI# 1881133270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881133270
Entity Type Individual
Full Name MRS. DAWN MARIE BROUK
Credential RD,LD,CNSC
Practice Address 16105 Elkton Ct
Chesterfield
MO 63005-6901
Practice Telephone 6363990421
Mailing Telephone 6363990421
Enumeration Date 2017-02-17
Last Update Date 2017-02-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
2004028282 MO Dietary & Nutritional Service Providers

Office Location

Street Address 16105 ELKTON CT
City CHESTERFIELD
State MO
Zip Code 63005-6901

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NPI Name Taxonomy Address Enumeration
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1437681293 Emily Therese Harpel Pharmacist 691 Trade Center Blvd, Chesterfield, MO 63005 2017-03-31
1831543826 Leslie Noel Chanasue Family Medicine 17701 Edison Ave Ste 101, Chesterfield, MO 63005 2016-04-16
1497112874 Jordan Kimler Nurse Practitioner 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 2016-01-15
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1679912554 Ceara M Barmeier Physician Assistant 17300 N Outer 40 Rd #101, Chesterfield, MO 63005 2013-06-24
1265794911 Regeneration Orthopedics, LLC Anesthesiology 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 2012-06-08
1528334984 Syed Tanveer Haider Radiologic Technologist 16502 Barrister Lane, Chesterfield, MO 63005 2012-03-29
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265908818 Katherine Somers Clark Dietitian, Registered 2615 E 20th St, Joplin, MO 64804-1039 2018-10-22
1780950840 Jessica Leigh Stafford Dietitian, Registered 3412 Daybreak Ln, Saint Charles, MO 63303-1942 2012-03-22
1194011726 Tomoko Okada Dietitian, Registered 1451 Ridgetree Trails Dr, Wildwood, MO 63021-5944 2011-06-22
1730368671 Tammy Elva Grayum Dietitian, Registered 14171 State Road Tt, Festus, MO 63028-4819 2007-10-28
1902428022 Marilyn Kaye Tanner-blasiar Dietitian, Registered 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 2020-05-12
1205395720 Laurie Ann Sax Dietitian, Registered 1 Childrens Pl, Saint Louis, MO 63110-1002 2019-03-14
1285107821 Jade Leanna Caldwell Dietitian, Registered 1 Childrens Pl, Ste C, Saint Louis, MO 63110-1002 2019-01-07
1801333018 Elizabeth Rose Toolan Dietitian, Registered 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2017-01-25
1346622354 Jordan D. Mize Dietitian, Registered 100 Mercy Way, Ste 580, Joplin, MO 64804-4524 2015-06-25
1326313909 Nancy Keetch Dietitian, Registered 100 Medical Plz, Suite 1203, Lake Saint Louis, MO 63367-1366 2012-03-15
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Competitor

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City CHESTERFIELD
Zip Code 63005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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