Individual
ANNA MARIE PETRUNCIO NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, CHES, LMT, RYT
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
Primary
18KT00767800
NJ
225700000X
Massage Therapist
MSG004860
PA
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
11/27/2018
Last updated
12/01/2021
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