Individual provider · Type 1 NPI
Cristianna F. Sullivan, MD
Pediatric Nutrition Registered Dietitian · Salmon, ID
Practice location
25 Hokanson Ln Uppr Grande
Salmon, ID 83467-5114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nutrition Registered Dietitian Primary | 133VN1004X | C2813089 (CA) |
Pediatric Nutrition Registered Dietitian: 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, educatio…
About NPI 1336906528
Cristianna F. Sullivan, MD's National Provider Identifier is 1336906528, issued on Mar 4, 2024. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Salmon, ID. The record was last updated on Mar 4, 2024.