Provider Demographics
NPI:1942551692
Name:CZAPARY, IRENE YUSRA (RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:YUSRA
Last Name:CZAPARY
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 1:7800 FAIRBORN CT
Mailing Address - Street 2:
Mailing Address - City:DERWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2227
Mailing Address - Country:US
Mailing Address - Phone:301-452-5315
Mailing Address - Fax:
Practice Address - Street 1:237 ASHTON RD
Practice Address - Street 2:
Practice Address - City:ASHTON
Practice Address - State:MD
Practice Address - Zip Code:20861-3305
Practice Address - Country:US
Practice Address - Phone:301-452-5315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX2696133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered