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Individual

MS. CHRISTINE WACKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1010 DELAFIELD RD, BUILDING 50 130G-A, PITTSBURGH, PA 15215-1802
(412) 822-3134
(412) 822-3019
Mailing address
1010 DELAFIELD RD, BUILDING 50 130G-A, PITTSBURGH, PA 15215-1802
(412) 822-3134
(412) 822-3019

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
TP003869M
PA
363LA2200X
Adult Health Nurse Practitioner
TP003869M
PA

Other

Enumeration date
12/29/2005
Last updated
07/22/2010
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