Individual
LORI JEAN WAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
107 MOUNT NEBO POINTE RD STE 101, PITTSBURGH, PA 15237-1316
(412) 548-1090
(412) 548-3123
Mailing address
107 MOUNT NEBO PTE STE 101, PITTSBURGH, PA 15237-1316
(412) 548-1090
(125) 483-1234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015293
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032706840001
—
PA
01
—
13613611
CAQH
PA
Enumeration date
09/06/2015
Last updated
09/10/2018
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