Provider Demographics
NPI:1265689418
Name:CROFTON, GAIL CHRISTINE (RD, LD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:CHRISTINE
Last Name:CROFTON
Suffix:
Gender:F
Credentials:RD, LD, CDE
Other - Prefix:MISS
Other - First Name:GAIL
Other - Middle Name:CHRISTINE
Other - Last Name:WARMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:1020 N MASON RD
Mailing Address - Street 2:PROFESSIONAL BUILDING 3, SUITE 200
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6300
Mailing Address - Country:US
Mailing Address - Phone:314-996-8039
Mailing Address - Fax:314-996-3270
Practice Address - Street 1:1020 N MASON RD
Practice Address - Street 2:PROFESSIONAL BUILDING 3, SUITE 200
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6300
Practice Address - Country:US
Practice Address - Phone:314-996-8039
Practice Address - Fax:314-996-3270
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001012331133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered