Provider Demographics
NPI:1033429352
Name:ALLEMAND, CHRISIE A (RD)
Entity Type:Individual
Prefix:MISS
First Name:CHRISIE
Middle Name:A
Last Name:ALLEMAND
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4135 LAND O'LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:LAND O'LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639
Mailing Address - Country:US
Mailing Address - Phone:813-558-5173
Mailing Address - Fax:
Practice Address - Street 1:10841 LITTLE RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-2513
Practice Address - Country:US
Practice Address - Phone:813-558-5173
Practice Address - Fax:813-558-5189
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND5784133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered