Provider Demographics
NPI:1235830076
Name:STEIN-ROSALES, MARY CAROLINE (FNTP, HEALTH COACH)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:CAROLINE
Last Name:STEIN-ROSALES
Suffix:
Gender:F
Credentials:FNTP, HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 COURTWAY PL
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2717
Mailing Address - Country:US
Mailing Address - Phone:917-821-2434
Mailing Address - Fax:
Practice Address - Street 1:7 COURTWAY PL
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-2717
Practice Address - Country:US
Practice Address - Phone:917-821-2434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education