MEDICARE: CHRISTINA MARIE ANDONI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	962971	MI

General Provider Information

NPI Number	:	1679443139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MARIE ANDONI

Provider Business Mailing Address
First Line	:	9175 APPLE ORCHARD DR
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-8912
Country	:	US
Telephone Number	:	810-813-4331
Fax Number	:

Provider Business Practice Location Address
First Line	:	9175 APPLE ORCHARD DR
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-8912
Country	:	US
Telephone Number	:	810-813-4331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

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Directions to “ CHRISTINA MARIE ANDONI ” Practice Location

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