Provider Demographics
NPI:1982412094
Name:CHRISTENSEN, HALEY ANNE (RDN)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:ANNE
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2231 W 13070 S
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84065-2201
Mailing Address - Country:US
Mailing Address - Phone:801-380-3794
Mailing Address - Fax:
Practice Address - Street 1:7050 S HIGHLAND DR STE 310
Practice Address - Street 2:
Practice Address - City:COTTONWOOD HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84121-3760
Practice Address - Country:US
Practice Address - Phone:801-996-3413
Practice Address - Fax:801-679-1143
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11852599-4901133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered