Provider Demographics
NPI:1699047357
Name:MARTINAC, PAULA (MS)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:MARTINAC
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:583 E END AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3261
Mailing Address - Country:US
Mailing Address - Phone:412-760-6809
Mailing Address - Fax:
Practice Address - Street 1:5655 BRYANT ST
Practice Address - Street 2:NUIN CENTER, ROOM 108
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1511
Practice Address - Country:US
Practice Address - Phone:412-760-6809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education