| Doctor Name: | MARY LYNN FARIVARI |
| NPI Number: | 1457498958 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | D1100000130 |
| Business Practice Address: | 2100 Pennsylvania Ave Nw Washington, DC - 200373202 |
| Business Phone Number: | 2028727055 |
| Business Fax Number: | 2028727132 |
| Mailing Address: | 2101 East Jefferson St, Kaiser Permanente 3 West Attn: Sanjay Mathur-data Mgmt ROCVILLE |
| State: | MD |
| Postal Code: | 208524908 |
| Phone Number: | 3018167446 |
| Fax Number: | 3018167170 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | D1100000130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |