NPI 1336906528

Cristianna F Sullivan, MD

Practitioner Pediatric Nutrition Registered Dietitian Salmon, ID

Practice location

Address: 25 Hokanson Ln Uppr Grande, Salmon, ID 83467-5114
Phone: (208) 487-4839

Registered specialties

Pediatric Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1004X Licence C2813089 (CA)

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1336906528
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2024
Record last updated: 4 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.