Provider Demographics
NPI:1033941166
Name:MARTINI, MELISSA (FNTP)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:MARTINI
Suffix:
Gender:F
Credentials:FNTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3702 SHADOW RIDGE RD N
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-8634
Mailing Address - Country:US
Mailing Address - Phone:252-218-2750
Mailing Address - Fax:
Practice Address - Street 1:2500 NASH ST N STE B
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1394
Practice Address - Country:US
Practice Address - Phone:252-218-2750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist