Individual
NICOLE ILGENFRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1000 HIGBEE DR STE D202, BETHEL PARK, PA 15102-4200
(412) 833-6176
(412) 833-6421
Mailing address
1000 HIGBEE DR STE D202, BETHEL PARK, PA 15102-4200
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP018023
PA
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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