Provider Demographics
NPI:1265506620
Name:DARNELL, CHRISTIN S (MSN, FNP, RD, CDCES)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIN
Middle Name:S
Last Name:DARNELL
Suffix:
Gender:F
Credentials:MSN, FNP, RD, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 WALKING HORSE TRL
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7882
Mailing Address - Country:US
Mailing Address - Phone:047-305-0345
Mailing Address - Fax:
Practice Address - Street 1:304 WALKING HORSE TRL
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7882
Practice Address - Country:US
Practice Address - Phone:704-305-0345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL001079133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered