Individual
SANDRA K. POURESHMENANTALEMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3131
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN237064L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074515
—
OH
Enumeration date
02/03/2006
Last updated
11/02/2007
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