Provider Demographics
NPI:1598171142
Name:PARSONS, CHRISTIE MICHELLE (RD)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:MICHELLE
Last Name:PARSONS
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 1:515 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-2451
Mailing Address - Country:US
Mailing Address - Phone:814-392-3147
Mailing Address - Fax:
Practice Address - Street 1:515 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-2451
Practice Address - Country:US
Practice Address - Phone:814-392-3147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004654133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered