Healthcare Provider Details

I. General information

NPI: 1528822822
Provider Name (Legal Business Name): NICHOLAS VENUTI II BS, AS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2024
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 BANKSVILLE AVE
PITTSBURGH PA
15216-2709
US

IV. Provider business mailing address

2930 BANKSVILLE AVE
PITTSBURGH PA
15216-2709
US

V. Phone/Fax

Practice location:
  • Phone: 412-551-9070
  • Fax:
Mailing address:
  • Phone: 412-551-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: