Provider Demographics
NPI:1912579871
Name:HOYT, CRISTINA (MS, CNS)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:HOYT
Suffix:
Gender:F
Credentials:MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 S 13TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-2915
Mailing Address - Country:US
Mailing Address - Phone:215-378-1965
Mailing Address - Fax:
Practice Address - Street 1:2115 S 13TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-2915
Practice Address - Country:US
Practice Address - Phone:215-378-1965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist