SearchMissouri133V00000X

Emma Wicks, MS RD LD CIEC

NPI 1699432096 · on the registry since 2021

Practice

Address
1905 Cherry Hill Dr Ste 300
Columbia, MO 65203
Phone
(573) 343-4017
Fax
(573) 615-4443
Organisation at this address
Bamboo Nutrition, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133V00000X
133V00000X
Licence states on file
TN, MN, MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri