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Individual

MRS. SHERRYL D PAVLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,C,MSN,CRNP

Contact information

Practice address
575 COAL VALLEY RD, STE 407, CLAIRTON, PA 15025-3726
(412) 469-7933
(412) 469-7024
Mailing address
1415 6TH ST, PITTSBURGH, PA 15234-2737
(412) 469-7933
(412) 469-7024

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
VP005719L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031996
PIN
PA
Enumeration date
05/23/2005
Last updated
09/20/2013
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