Healthcare Provider Details
I. General information
NPI: 1346294386
Provider Name (Legal Business Name): KAREN K SZAFRAN CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6303 LITTLE RIVER TPKE #300
ALEXANDRIA VA
22312
US
IV. Provider business mailing address
6718 ROCK FALL COURT
CLIFTON VA
20124
US
V. Phone/Fax
- Phone: 703-914-8989
- Fax: 703-914-5494
- Phone: 703-802-4977
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | 0024133434 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: