Individual provider · Type 1 NPI
Mary Insalaco, LICENSE DIETITIAN
Registered Dietitian · St. Louis, MO
Practice location
3115 Wynfield Terrace Ct
St. Louis, MO 63129-3971
Mailing address
2220 Lemp Ave
St. Louis, MO 63104-2700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | 2009014930 (MO) |
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 1780917237
Mary Insalaco, LICENSE DIETITIAN's National Provider Identifier is 1780917237, issued on Sep 16, 2009. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 7, 2026.