Individual
DANIELA NICOLE SPORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4815 LIBERTY AVE STE 115, PITTSBURGH, PA 15224-2156
(412) 578-6808
(412) 688-7517
Mailing address
4815 LIBERTY AVE STE 115, PITTSBURGH, PA 15224-2156
(412) 578-6808
(412) 688-7517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017675
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103352959
—
PA
Enumeration date
07/17/2017
Last updated
05/06/2021
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