Provider Demographics
NPI:1255875308
Name:CARTINELLA, REBECCA ANNE (CHN)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ANNE
Last Name:CARTINELLA
Suffix:
Gender:F
Credentials:CHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 SPRING ST
Mailing Address - Street 2:UNIT 22
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-2283
Mailing Address - Country:US
Mailing Address - Phone:908-463-1181
Mailing Address - Fax:
Practice Address - Street 1:321 SPRING ST
Practice Address - Street 2:UNIT 22
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2283
Practice Address - Country:US
Practice Address - Phone:908-463-1181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist