NPI:
1518020254
Provider Name:
MICHELLE HOOVER MS MANAGEMENT
Doing Business As: MICHELLE HOOVER
Classification:
Dietitian, Registered - 133VN1004X
Entity Type:
Organization
Specialization: Nutrition, Pediatric
Address:
3540 BLACK OAK LN
EDWARDSVILLE, IL
ZIP 62025
Phone:
(618) 334-0402
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MICHELLE HOOVER MS MANAGEMENT is a nutrition and pediatric dietitian registered in Edwardsville, IL. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. MICHELLE HOOVER MS MANAGEMENT NPI is 1518020254. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Michelle Hoover.
The provider's business location address is:
3540 BLACK OAK LN
EDWARDSVILLE, IL
ZIP 62025-034
Phone: (618) 334-0402
Fax: (618) 659-3948
The provider's authorized official is Michelle Denise Hoover .
The authorized official title is Registered Dietitian and has the following contact phone number (618) 334-0402.
The enumeration date for this NPI number is 12/17/2006 and was last updated on 12/19/2018.