Individual
KELLY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CRNP
Contact information
Practice address
230 N CRAIG ST STE B, PITTSBURGH, PA 15213-1569
(412) 621-3777
Mailing address
230 N CRAIG ST STE B, PITTSBURGH, PA 15213-1569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.387195
OH
163W00000X
Registered Nurse
RN767139
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.024376
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027057
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349913
—
OH
Enumeration date
09/09/2016
Last updated
04/16/2023
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