Healthcare Provider Details

I. General information

NPI: 1346253416
Provider Name (Legal Business Name): KAREN PAPI MSRD,CDE,LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 12/10/2020
Certification Date: 12/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 S WASHINGTON AVE
JERMYN PA
18433-1121
US

IV. Provider business mailing address

746 JEFFERSON AVE
SCRANTON PA
18510-1624
US

V. Phone/Fax

Practice location:
  • Phone: 570-230-0019
  • Fax:
Mailing address:
  • Phone: 570-348-7255
  • Fax: 570-348-7736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN001548
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: