Healthcare Provider Details

I. General information

NPI: 1194883231
Provider Name (Legal Business Name): ROSEMARY CATANZARO RD, MS, CDE, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 BELLEVUE AVE SUITE 400
SAINT LOUIS MO
63117-1818
US

IV. Provider business mailing address

1031 BELLEVUE AVE SUITE 400
SAINT LOUIS MO
63117-1818
US

V. Phone/Fax

Practice location:
  • Phone: 314-977-7444
  • Fax: 314-977-7477
Mailing address:
  • Phone: 314-977-7444
  • Fax: 314-977-7477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2001000863
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: