NPI 1578386116

Taylor Maggio, MSRDCSSDLD

Practitioner Registered Dietitian Maryville, IL

Practice location

Address: 4 Annebriar Dr, Maryville, IL 62062-5693
Phone: (618) 540-0712

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DT91222 (TX)

Other Dietitian, Registered providers in Illinois →

Registry record

NPI: 1578386116
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2024
Record last updated: 4 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.