Provider Demographics
NPI:1366413973
Name:VARTAN, KAREN STEPHANIE (RD, MED)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:STEPHANIE
Last Name:VARTAN
Suffix:
Gender:F
Credentials:RD, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 ELM GROVE CIR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-7018
Mailing Address - Country:US
Mailing Address - Phone:703-283-3457
Mailing Address - Fax:301-283-3457
Practice Address - Street 1:810 VERMONT AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20420-0001
Practice Address - Country:US
Practice Address - Phone:202-273-8474
Practice Address - Fax:202-273-9274
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-31
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
R-360969133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Provider Identifiers
StateIdentifier IDID TypeIssuer
R360969OtherAMERICAN DIETETIC ASSOCIA