Provider Demographics
NPI:1235713637
Name:DIBRANGO, KAREN R (NBC-HWC, CFNC, DPPLC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:DIBRANGO
Suffix:
Gender:F
Credentials:NBC-HWC, CFNC, DPPLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4856 ISOLA CT
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-6635
Mailing Address - Country:US
Mailing Address - Phone:813-545-3131
Mailing Address - Fax:813-550-0072
Practice Address - Street 1:4856 ISOLA CT
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-6635
Practice Address - Country:US
Practice Address - Phone:813-545-3131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-11
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA-3269568171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach