Provider Demographics
NPI:1528551835
Name:BITTNER, CHRISTINA MICHEL (RD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MICHEL
Last Name:BITTNER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:CHRISSIE
Other - Middle Name:MICHEL
Other - Last Name:BITTNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:33 S FERNWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PITMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08071-1641
Mailing Address - Country:US
Mailing Address - Phone:856-430-5244
Mailing Address - Fax:
Practice Address - Street 1:33 S FERNWOOD AVE
Practice Address - Street 2:
Practice Address - City:PITMAN
Practice Address - State:NJ
Practice Address - Zip Code:08071-1641
Practice Address - Country:US
Practice Address - Phone:856-430-5244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered