Individual
KOURTNI PRODAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
501 BRADDOCK AVE, BRADDOCK, PA 15104-1856
(412) 636-5044
Mailing address
510 CLEMSON DR, PITTSBURGH, PA 15243-1722
(309) 256-9076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP022870
PA
Other
Enumeration date
12/07/2020
Last updated
10/13/2022
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