Provider Demographics
NPI:1609687318
Name:MENDIZABAL, MARTA (FDNP)
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:MENDIZABAL
Suffix:
Gender:F
Credentials:FDNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15728 LORAIN AVE UNIT 300
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-5542
Mailing Address - Country:US
Mailing Address - Phone:216-808-3600
Mailing Address - Fax:
Practice Address - Street 1:6568 SHERBORN RD
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3954
Practice Address - Country:US
Practice Address - Phone:216-808-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No171400000XOther Service ProvidersHealth & Wellness Coach