Healthcare Provider Details

I. General information

NPI: 1205826070
Provider Name (Legal Business Name): NANCY LOUISE KLEIN R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5218 27TH RD N
ARLINGTON VA
22207-1725
US

IV. Provider business mailing address

5218 27TH RD N
ARLINGTON VA
22207-1725
US

V. Phone/Fax

Practice location:
  • Phone: 703-696-4824
  • Fax: 703-696-6826
Mailing address:
  • Phone: 703-696-4824
  • Fax: 703-696-6826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: