Individual
MS. KATHLEEN HERESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5231 PENN AVE, 1ST FLOOR, PITTSBURGH, PA 15224-1768
(412) 204-9100
(412) 204-9132
Mailing address
5231 PENN AVE, 1ST FLOOR, PITTSBURGH, PA 15224-1768
(412) 204-9100
(412) 204-9132
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN571778
PA
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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