Individual
KIM MARIE DAUTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
815 FREEPORT RD, PITTSBURGH, PA 15215-3301
(412) 784-4000
Mailing address
2652 NORMA DR, LOWER BURRELL, PA 15068-3049
(610) 823-3898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019585
PA
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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