Provider Demographics
NPI:1932706967
Name:HAYDEN, CHRISTINA NICOLE (CNS)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:NICOLE
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:NICOLE
Other - Last Name:CHEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNS
Mailing Address - Street 1:4900 31ST ST S STE A
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-1663
Mailing Address - Country:US
Mailing Address - Phone:703-340-4325
Mailing Address - Fax:
Practice Address - Street 1:4900 31ST ST S STE A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-1663
Practice Address - Country:US
Practice Address - Phone:703-340-4325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist