Individual provider · Type 1 NPI

Gretchen Coleman Wallace, MS, RD, LD, CD

Registered Dietitian · St. Louis, MO

NPI number 1023535440 Active

Practice location

6 Cardinal Way, Suite 900
St. Louis, MO 63102

Fax (206) 681-9640

Mailing address

6 Cardinal Way Ste 900
St. Louis, MO 63102

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000X2023005984 (MO)
Registered Dietitian 133V00000XNone listed
Registered Dietitian 133V00000X10235828 (OR)
Registered Dietitian Primary 133V00000XDI60956654 (WA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1023535440

Gretchen Coleman Wallace, MS, RD, LD, CD's National Provider Identifier is 1023535440, issued on Aug 25, 2017. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 8, 2023.