Provider Demographics
NPI:1952870719
Name:GREENHILL, EMMA MARIE (RD, RDN)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:MARIE
Last Name:GREENHILL
Suffix:
Gender:F
Credentials:RD, RDN
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:MARIE
Other - Last Name:WALSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1020 N MASON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6300
Mailing Address - Country:US
Mailing Address - Phone:314-996-3120
Mailing Address - Fax:314-996-3131
Practice Address - Street 1:1020 N MASON RD STE 200
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6300
Practice Address - Country:US
Practice Address - Phone:314-996-3120
Practice Address - Fax:314-996-3131
Is Sole Proprietor?:No
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018036835133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered