Individual
KATIE R PORRECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1307 FEDERAL ST STE 300, PITTSBURGH, PA 15212-4769
(412) 281-1757
(412) 281-7274
Mailing address
1307 FEDERAL ST STE 300, PITTSBURGH, PA 15212-4769
(412) 281-1757
(412) 281-7274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061855
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103883658
—
PA
01
—
15066208
CAQH
—
Enumeration date
01/14/2021
Last updated
01/08/2024
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