Individual
MRS. RENEE D PISTILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2050 S QUEEN ST, STE 200, YORK, PA 17403-4829
(717) 812-2316
(717) 848-5540
Mailing address
2050 S QUEEN ST STE 200, YORK, PA 17403-4829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN559129
PA
176B00000X
Midwife
MW010077
PA
367A00000X
Advanced Practice Midwife
Primary
MW010077
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101154612
—
PA
01
—
1542778
GATEWAY-WMG
PA
01
—
974233
CAREFIRST MD BCBS
MD
Enumeration date
09/20/2006
Last updated
04/14/2021
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