Michelle Hoover Ms Management in Edwardsville - Nutrition, Pediatric
Michelle Hoover Ms Management - NPI 1518020254
Michelle Hoover Ms Management is a Nutrition, Pediatric in Edwardsville, Illinois. Michelle Hoover Ms Management practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Michelle Hoover Ms Management is 1518020254. The last update date is 2018-12-19.
Michelle Hoover Ms Management's current location address is 3540 Black Oak Ln, Edwardsville, Illinois. You can contact this provider via phone number 6183340402 and fax number 6186593948. The mailing address for Michelle Hoover Ms Management is 3540 Black Oak Ln, Edwardsville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michelle Hoover Ms Management |
|---|---|
| Address | 3540 Black Oak Ln, Edwardsville, Illinois |
| Phone Number | 6183340402 |
| Fax Number | 6186593948 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REGISTERED |
|---|---|
| Authorized Official Name | Hoover Denise Michelle |
| Credentials | RD, LD |
| Telephone Number | 6183340402 |
NPI Number Detail
| NPI Number | 1518020254 |
|---|---|
| Provider Enumeration Date | 2006-12-17 |
| Last Updated Date | 2018-12-19 |
Provider Mailing Address Detail
| Address | 3540 Black Oak Ln |
|---|---|
| City | Edwardsville |
| State | Illinois (IL) |
| Post Code | 620257034 |
| Phone Number | 6183340402 |
| Fax Number | 6186593948 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 2001023440 |
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Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the Michelle Hoover Ms Management's unique identification number?
The Michelle Hoover Ms Management has been assigned the NPI (National Provider Identifier) Number 1518020254 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Michelle Hoover Ms Management is geographically located?
The Michelle Hoover Ms Management is physically situated at the following location: 3540 Black Oak Ln, Edwardsville, IL, 620257034.
What is Michelle Hoover Ms Management's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michelle Hoover Ms Management is Nutrition, Pediatric, and the taxonomy code that categorizes this field of expertise is 133Vn1004X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518020254 to Michelle Hoover Ms Management?
The Michelle Hoover Ms Management received its 1518020254 assignment from the Centers for Medicare & Medicaid Services on 2006-12-17.
As of what date was the information regarding Michelle Hoover Ms Management, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michelle Hoover Ms Management, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-12-19.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC