Healthcare Provider Details

I. General information

NPI: 1346247582
Provider Name (Legal Business Name): KAREN D FRANCIS RD, CD-N
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 01/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 BLUE SPRUCE LN
MONROE CT
06468-2060
US

IV. Provider business mailing address

6 BLUE SPRUCE LN
MONROE CT
06468-2060
US

V. Phone/Fax

Practice location:
  • Phone: 203-445-8248
  • Fax:
Mailing address:
  • Phone: 203-445-8248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number000568
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: