Provider Demographics
NPI:1063211514
Name:MCNUTT, ERNEST PAUL III (NBC-HWC)
Entity type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:PAUL
Last Name:MCNUTT
Suffix:III
Gender:
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 E 76TH ST APT 5B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2830
Mailing Address - Country:US
Mailing Address - Phone:646-229-6643
Mailing Address - Fax:
Practice Address - Street 1:136 E 76TH ST APT 5B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2830
Practice Address - Country:US
Practice Address - Phone:646-229-6643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach