1265791925 NPI number — MS. VICKY VRABEL M ED, RD, LDN

Table of content: MS. VICKY VRABEL M ED, RD, LDN (NPI 1265791925)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265791925 NPI number — MS. VICKY VRABEL M ED, RD, LDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VRABEL
Provider First Name:
VICKY
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M ED, RD, LDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265791925
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/30/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CORE VALUE CORPORATION DBA SOUTHERN MARYLAND DIETITIAN
Provider Second Line Business Mailing Address:
4560 CRAIN HIGHWAY, SUITE 11
Provider Business Mailing Address City Name:
WHITE PLAINS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20605
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-210-9825
Provider Business Mailing Address Fax Number:
204-366-1161

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CORE VALUE CORPORATION DBA SOUTHERN MARYLAND DIETITIAN
Provider Second Line Business Practice Location Address:
4560 CRAIN HIGHWAY, SUITE 11
Provider Business Practice Location Address City Name:
WHITE PLAINS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-210-9725
Provider Business Practice Location Address Fax Number:
240-366-1161
Provider Enumeration Date:
05/15/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  DN003279 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133V00000X , with the licence number: DX2925 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com