Individual
HEATHER MARIE DERMOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP, FNP-C
Contact information
Practice address
9100 BABCOCK BLVD, PITTSBURGH, PA 15237-5815
(412) 367-6700
Mailing address
1012 MARION DR, CORAOPOLIS, PA 15108-1728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024432
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP024432
CRNP LICENSE NUMBER
PA
Enumeration date
09/24/2021
Last updated
09/24/2021
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