Individual
CHARLES CARPENTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CNS
Contact information
Practice address
506 BAYBERRY DR, MONROEVILLE, PA 15146-1615
(412) 773-2369
Mailing address
506 BAYBERRY DR, MONROEVILLE, PA 15146-1615
(412) 654-1999
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CNS-19125
PA
133NN1002X
Nutrition Education Nutritionist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2023
Last updated
10/27/2025
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