Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Ann Moore, BS

Individual provider Nutritionist · NPI 1861153405

Marissa Ann Moore, BS is a Nutritionist in Florissant, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

75 De Smet Dr
Florissant, MO 63031-8404
Phone: (314) 348-1629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X (MO)

Record details

NPI number1861153405
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedJanuary 5, 2022
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022
Mailing address75 De Smet Dr, Florissant, MO 63031-8404

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