Doctor Name: | MS. BONITA CHRISTIANSEN IRVIN |
NPI Number: | 1891136651 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN |
License Number: | L000632 |
Business Practice Address: | 415 N Center St Suite 002 Hickory, NC - 286015057 |
Business Phone Number: | 8283226699 |
Business Fax Number: | 8283041234 |
Mailing Address: | 420 N Center St, HICKORY |
State: | NC |
Postal Code: | 286015033 |
Phone Number: | 8283155000 |
Fax Number: | 8283041234 |
NPI Enumeration Date: | 07/09/2013 |
NPI Last Update Date: | 07/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L000632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |