Provider Demographics
NPI:1346955903
Name:NGUYEN, CHRISTOPHER MICHAEL (BSC, RDN)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:BSC, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28012 STAYSAIL WAY
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4080
Mailing Address - Country:US
Mailing Address - Phone:731-334-1999
Mailing Address - Fax:
Practice Address - Street 1:28012 STAYSAIL WAY
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4080
Practice Address - Country:US
Practice Address - Phone:731-334-1999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered