Individual
FAN NY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5150 CENTRE AVE STE 301, PITTSBURGH, PA 15232-1309
(878) 261-6344
Mailing address
5150 CENTRE AVE STE 301, PITTSBURGH, PA 15232-1309
(878) 261-6344
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN 379647
OH
363LA2200X
Adult Health Nurse Practitioner
SP033806
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.14685
OH
363LG0600X
Gerontology Nurse Practitioner
SP033806
PA
Other
Enumeration date
05/14/2013
Last updated
03/31/2026
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