Christine Bauer, RDN, LN

Individual provider Active NPI Registered Dietitian · Poplar, MT

NPI 1295200178 · NPPES record last updated Oct 8, 2018

Key facts

NPI
1295200178
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
MED-NUTR-LIC-68945 (MT)
Practice address
417 13TH Avenue East
Poplar, MT 59255
Phone
(406) 768-3052
NPI assigned
Oct 8, 2018
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
MED-NUTR-LIC-68945MTMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X MED-NUTR-LIC-68945 MT Yes

Addresses

Primary practice location

417 13TH Avenue East
Poplar, MT 59255

Mailing address

104 Crescent Dr
Wolf Point, MT 59201-1908
Phone (406) 690-3212

Other providers in Poplar, MT

All providers in Poplar, MT · Registered Dietitian in Montana

Sources for this page

Verify at the official NPI Registry.