Individual
MS. LOUISE DERISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
412 GREENDALE AVE, PITTSBURGH, PA 15218-1332
(412) 242-0155
Mailing address
412 GREENDALE AVE, PITTSBURGH, PA 15218-1332
(412) 242-0155
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TP000609C
PA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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