Christine Bannon, RD, LDN

Individual provider Active NPI Registered Dietitian · Wilmington, DE

NPI 1265133136 · NPPES record last updated Mar 16, 2023

Key facts

NPI
1265133136
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DN006099 (PA)
Practice address
1601 Kirkwood Hwy
Wilmington, DE 19805-4917
Phone
(610) 717-6554
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN006099PAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN006099 PA Yes

Addresses

Primary practice location

1601 Kirkwood Hwy
Wilmington, DE 19805-4917

Mailing address

1601 Kirkwood Hwy
Wilmington, DE 19805-4917
Phone (302) 994-2511

Other providers in Wilmington, DE

All providers in Wilmington, DE · Registered Dietitian in Delaware

Sources for this page

Verify at the official NPI Registry.