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Cristianna F Sullivan, MD,
Pediatric Nutrition Registered Dietitian in Salmon, Idaho
NPI 1336906528

Cristianna F Sullivan is a Pediatric Nutrition Registered Dietitian based in Salmon, ID and is specialized in Nutrition, Pediatric. Cristianna F Sullivan practices in Salmon, ID and has the professional credentials of MD,. The NPI Number for Cristianna F Sullivan is 1336906528 and holds a License No. C2813089 (Idaho).

The current practice location address for Cristianna F Sullivan is 25 Hokanson Ln Uppr Grande, Salmon, ID and can be reached out via phone at 208-487-4839. You can also correspond with Cristianna F Sullivan through the mailing address at 25 HOKANSON LN UPPR GRANDE, SALMON, ID - 83467-5114 (mailing address contact number: 208-487-4839).

Location: 25 Hokanson Ln Uppr Grande, Salmon, ID, 83467-5114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336906528
Provider Name
Cristianna F Sullivan
Credential
MD,
Provider Entity Type
Individual
Gender
Female
Address
25 Hokanson Ln Uppr Grande, Salmon, ID, 83467-5114
Phone Number
208-487-4839
Fax Number
Provider Enumeration Date
03/04/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
25 Hokanson Ln Uppr Grande
City
Salmon
State
Idaho
Zip
83467-5114
Phone Number
208-487-4839
Fax Number
person
Provider Business Mailing Address Details
Address
25 Hokanson Ln Uppr Grande
City
Salmon
State
Idaho
Zip
83467-5114
Phone Number
208-487-4839
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
C2813089 (California)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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