Individual
MRS. JESSICA SIVETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
810 CLAIRTON BLVD, SUITE 100, PITTSBURGH, PA 15236-4519
(412) 466-5004
(412) 466-7137
Mailing address
810 CLAIRTON BLVD STE 100, PITTSBURGH, PA 15236-5505
(412) 466-5004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023893
PA
363LP0200X
Pediatric Nurse Practitioner
SP023893
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039680760001
—
PA
05
—
1039680760004
—
PA
05
—
1039680760005
—
PA
Enumeration date
06/21/2021
Last updated
11/17/2023
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