Healthcare Provider Details

I. General information

NPI: 1275864209
Provider Name (Legal Business Name): KAREN LOUISE FOSTER RDLD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2010
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1204 MAIN ST STE 576
BRANFORD CT
06405-3787
US

IV. Provider business mailing address

3527 US HIGHWAY 52
DECORAH IA
52101-8200
US

V. Phone/Fax

Practice location:
  • Phone: 844-359-8363
  • Fax: 833-929-3520
Mailing address:
  • Phone: 563-735-5624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number01295
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: