Healthcare Provider Details

I. General information

NPI: 1609934363
Provider Name (Legal Business Name): KAREN MARIE KREUTZBERG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN MARIE HEALY RN

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

5001 RIVER HILL RD
BETHESDA MD
20816-2239
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-0974
  • Fax:
Mailing address:
  • Phone: 301-320-9021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number83665
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: