Individual provider · Type 1 NPI
Charles Edmund Ftacek, DCN, MS, CNS
Nutrition Education Nutritionist · Sebastopol, CA
NPI number
1386365682
Active
Practice location
321 S Main St # 544
Sebastopol, CA 95472-4208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | None listed |
Nutrition Education Nutritionist: Definition to come...
About NPI 1386365682
Charles Edmund Ftacek, DCN, MS, CNS's National Provider Identifier is 1386365682, issued on Sep 6, 2022. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Sebastopol, CA. The record was last updated on Sep 29, 2026.