Provider Demographics
NPI:1255877320
Name:BOERST, KAREY (RDN)
Entity type:Individual
Prefix:
First Name:KAREY
Middle Name:
Last Name:BOERST
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6339 CHARLOTTE PIKE UNIT B366
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-2926
Mailing Address - Country:US
Mailing Address - Phone:386-479-8037
Mailing Address - Fax:
Practice Address - Street 1:6339 CHARLOTTE PIKE UNIT B366
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-2926
Practice Address - Country:US
Practice Address - Phone:386-479-8037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered