Provider Demographics
NPI:1164275574
Name:HARTNEY, PAULINA (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:HARTNEY
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 SHAIRPIN LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-6413
Mailing Address - Country:US
Mailing Address - Phone:864-214-5439
Mailing Address - Fax:888-690-4346
Practice Address - Street 1:111 SHAIRPIN LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-6413
Practice Address - Country:US
Practice Address - Phone:864-214-5439
Practice Address - Fax:888-690-4346
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3696645171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach