Provider Demographics
NPI:1285908228
Name:NARTKER, CAROL JEAN (RD,LD,CDE)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:JEAN
Last Name:NARTKER
Suffix:
Gender:F
Credentials:RD,LD,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-2584
Mailing Address - Country:US
Mailing Address - Phone:513-727-5475
Mailing Address - Fax:513-727-5479
Practice Address - Street 1:80 E WOODBURY DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-2800
Practice Address - Country:US
Practice Address - Phone:513-727-5475
Practice Address - Fax:513-727-5479
Is Sole Proprietor?:No
Enumeration Date:2012-03-07
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH810133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered