Doctor Name: | CHRISTINA BOLOGNA |
NPI Number: | 1205131968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2006035488 |
Business Practice Address: | 620 John Paul Jones Cir Portsmouth, VA - 237082111 |
Business Phone Number: | 7579531027 |
Business Fax Number: | |
Mailing Address: | 4544 Columbus St, Apt 936 VIRGINIA BEACH |
State: | VA |
Postal Code: | 234626749 |
Phone Number: | 3142762039 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2011 |
NPI Last Update Date: | 01/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2006035488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |