Provider Demographics
NPI:1881275337
Name:P.IAMPIETRONUTRITION, LLC
Entity type:Organization
Organization Name:P.IAMPIETRONUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:IAMPIETRO
Authorized Official - Suffix:
Authorized Official - Credentials:RD,LDN
Authorized Official - Phone:412-290-1691
Mailing Address - Street 1:1725 WASHINGTON RD STE 408
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1214
Mailing Address - Country:US
Mailing Address - Phone:412-290-1691
Mailing Address - Fax:412-831-1704
Practice Address - Street 1:1725 WASHINGTON RD STE 408
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1214
Practice Address - Country:US
Practice Address - Phone:412-290-1691
Practice Address - Fax:412-831-1704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty