Individual
MRS. SANDY JO WASACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP,CRNP,AGACNP-BC
Contact information
Practice address
2 HOT METAL ST, QUANTUM BLDG. 1, PITTSBURGH, PA 15203-2348
(412) 432-7400
(412) 432-7480
Mailing address
4234 WOODMERE DR, YOUNGSTOWN, OH 44515-3518
(330) 559-3826
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
COA.18452-NP
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
SP015825
PA
Other
Enumeration date
01/18/2016
Last updated
01/25/2024
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