Healthcare Provider Details

I. General information

NPI: 1699047357
Provider Name (Legal Business Name): PAULA MARTINAC M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2012
Last Update Date: 01/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5655 BRYANT ST NUIN CENTER, ROOM 108
PITTSBURGH PA
15206-1511
US

IV. Provider business mailing address

583 E END AVE
PITTSBURGH PA
15221-3261
US

V. Phone/Fax

Practice location:
  • Phone: 412-760-6809
  • Fax:
Mailing address:
  • Phone: 412-760-6809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: