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

Mary Fogleman

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1669929717

Mary Fogleman is a Pediatric Nutrition Registered Dietitian in St. Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
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Practice location Partly verified

Some contact details are missing from the federal record.

One Children's Pl
St. Louis, MO 63110
Phone: (314) 454-4866
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Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X · Licence 2012025314 (MO)

Record details

NPI number1669929717
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2016
Last updated in NPPESSeptember 7, 2016
Mailing addressOne Children'S Place, St. Louis, MO 63110

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