Individual
CRAIG REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 PENN AVE, PITTSBURGH, PA 15224-1334
(412) 692-5030
Mailing address
4401 PENN AVE, PITTSBURGH, PA 15224-1334
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
SP016216
PA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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