Provider Demographics
NPI:1205826070
Name:KLEIN, NANCY LOUISE (RD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LOUISE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5218 27TH RD N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-1725
Mailing Address - Country:US
Mailing Address - Phone:703-696-4824
Mailing Address - Fax:703-696-6826
Practice Address - Street 1:5218 27TH RD N
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-1725
Practice Address - Country:US
Practice Address - Phone:703-696-4824
Practice Address - Fax:703-696-6826
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered