Provider Demographics
NPI:1477673168
Name:LEIGHTON, CHRISTIE DONNETTE (RD)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:DONNETTE
Last Name:LEIGHTON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:DONNETTE
Other - Last Name:BUNDRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:175 NEWMARKET RD
Mailing Address - Street 2:
Mailing Address - City:WARNER
Mailing Address - State:NH
Mailing Address - Zip Code:03278-4108
Mailing Address - Country:US
Mailing Address - Phone:603-494-2622
Mailing Address - Fax:
Practice Address - Street 1:175 NEWMARKET RD
Practice Address - Street 2:
Practice Address - City:WARNER
Practice Address - State:NH
Practice Address - Zip Code:03278-4108
Practice Address - Country:US
Practice Address - Phone:603-494-2622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH475133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered