Provider Demographics
NPI:1427162916
Name:HANSROTE, KAREN DENISE (RD, LDN)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:DENISE
Last Name:HANSROTE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WARREN DR
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-4870
Mailing Address - Country:US
Mailing Address - Phone:410-392-6005
Mailing Address - Fax:
Practice Address - Street 1:NUTRITION AND FOOD SERVICE
Practice Address - Street 2:PP VAMC
Practice Address - City:PERRY POINT
Practice Address - State:MD
Practice Address - Zip Code:21902
Practice Address - Country:US
Practice Address - Phone:410-642-2411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00988133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered