NPI 1073212825

Nina Grillo-Balthrop Mack, MANBCHWC

Practitioner Health & Wellness Coach New York, NY

Practice location

Address: 1460 Broadway Fl 16, New York, NY 10036-7312
Phone: (508) 410-3305

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1073212825
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Mar 2023
Record last updated: 1 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.