Healthcare Provider Details

I. General information

NPI: 1821535535
Provider Name (Legal Business Name): NICOLE FRANK-MASLAR DBA PYRAMID NUTRITION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2017
Last Update Date: 01/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 MULBERRY ST
SPRINGFIELD MA
01105-1406
US

IV. Provider business mailing address

128 TANNERY RD
WESTFIELD MA
01085-4841
US

V. Phone/Fax

Practice location:
  • Phone: 413-330-8167
  • Fax: 413-480-0517
Mailing address:
  • Phone: 413-427-6340
  • Fax: 413-480-0517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number4240
License Number StateMA

VIII. Authorized Official

Name: MRS. NICOLE K FRANK-MASLAR
Title or Position: OWNER
Credential: RDN, LDN
Phone: 413-330-8167