NPI 1750756409 · live from the CMS NPI Registry
Christine Bannan, R.D.
Dietitian, Registered in Flint, MI. National Provider Identifier 1750756409, active.
NPI record
| NPI | 1750756409 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 420 W 5th Ave, Flint, MI 48503 |
| Practice phone | 810-257-3736 |
| Mailing address | 10766 Henderson Rd, Corunna, MI 48817 |
| Enumerated | December 7, 2015 |
| Last updated | December 7, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.