Healthcare Provider Details

I. General information

NPI: 1619383320
Provider Name (Legal Business Name): CHRYSTAL FRANK MS-MPH,RD,LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRYSTAL FRANK MS-MPH,RD,LDN

II. Dates (important events)

Enumeration Date: 07/02/2014
Last Update Date: 10/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL ROAD CALLER BOX C-268
CHEROKEE NC
28719-9253
US

IV. Provider business mailing address

1 HOSPITAL ROAD CALLER BOX C-268
CHEROKEE NC
28719-9253
US

V. Phone/Fax

Practice location:
  • Phone: 828-497-9163
  • Fax: 828-497-1723
Mailing address:
  • Phone: 828-497-9163
  • Fax: 828-497-1723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1074602
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: