Provider Demographics
NPI:1003414756
Name:QUIRK, CHRISTY N (RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:N
Last Name:QUIRK
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 OLDHAM PL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9004
Mailing Address - Country:US
Mailing Address - Phone:919-360-9126
Mailing Address - Fax:
Practice Address - Street 1:117 OLDHAM PL
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-9004
Practice Address - Country:US
Practice Address - Phone:919-360-9126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC86092305133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered