Healthcare Provider Details

I. General information

NPI: 1366413973
Provider Name (Legal Business Name): KAREN STEPHANIE VARTAN R.D., M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 10/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 VERMONT AVE NW
WASHINGTON DC
20420-0001
US

IV. Provider business mailing address

1226 ELM GROVE CIR
SILVER SPRING MD
20905-7018
US

V. Phone/Fax

Practice location:
  • Phone: 202-273-8474
  • Fax: 202-273-9274
Mailing address:
  • Phone: 703-283-3457
  • Fax: 301-283-3457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberR-360969
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: