Individual
PORTIA LASHELL PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5231 PENN AVE, PITTSBURGH, PA 15224-1768
(412) 706-1022
Mailing address
5231 PENN AVE, PITTSBURGH, PA 15224-1768
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN701583
PA
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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