Individual
MARIBETH A PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1307 FEDERAL ST STE B100, PITTSBURGH, PA 15212-4761
(412) 359-8900
(412) 359-8977
Mailing address
1307 FEDERAL ST STE B100, PITTSBURGH, PA 15212-4761
(412) 359-8900
(412) 359-8977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013963
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102965543
—
PA
01
—
12727276
CAQH
—
Enumeration date
07/31/2014
Last updated
11/19/2020
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