Provider Demographics
NPI:1134449168
Name:HARTLEY, ANTONIA CHRISTINE (MPH, RD, LDN)
Entity type:Individual
Prefix:MS
First Name:ANTONIA
Middle Name:CHRISTINE
Last Name:HARTLEY
Suffix:
Gender:F
Credentials:MPH, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JAMES A TAYLOR BLDG - CB#7470
Mailing Address - Street 2:UNC CAMPUS HEALTH SERVICES
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599
Mailing Address - Country:US
Mailing Address - Phone:919-966-3461
Mailing Address - Fax:
Practice Address - Street 1:JAMES A TAYLOR BLDG - CB#7470
Practice Address - Street 2:UNC CAMPUS HEALTH SERVICES
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599
Practice Address - Country:US
Practice Address - Phone:919-966-3461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003486133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered