Provider Demographics
NPI:1124659032
Name:VROOME, CATHERINE A (MS, RD)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:A
Last Name:VROOME
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 COLD STREAM WAY APT D
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-2037
Mailing Address - Country:US
Mailing Address - Phone:732-597-1310
Mailing Address - Fax:
Practice Address - Street 1:351 GEORGE WILLIAMS WAY
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-3518
Practice Address - Country:US
Practice Address - Phone:302-836-9622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1018625133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered