Doctor Name: | CHRISTINE BANNAN |
NPI Number: | 1750756409 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | |
Business Practice Address: | 420 W 5th Ave Flint, MI - 485032445 |
Business Phone Number: | 8102573736 |
Business Fax Number: | |
Mailing Address: | 10766 Henderson Rd, CORUNNA |
State: | MI |
Postal Code: | 488179791 |
Phone Number: | 9897211009 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2015 |
NPI Last Update Date: | 12/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |