Individual
MRS. LISA M BRODAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
969 GREENTREE RD STE 210, PITTSBURGH, PA 15220-3328
(724) 920-8175
Mailing address
969 GREENTREE RD STE 210, PITTSBURGH, PA 15220-3328
(724) 920-8175
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP003902B
PA
Other
Enumeration date
06/21/2006
Last updated
04/07/2022
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