Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Aug 28, 2024
License(s)
SP030246 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4401 PENN AVE | Pittsburgh, PA 15224-1334 | 412-692-8430 |
| MAILING | 704 HULTON RD | Oakmont, PA 15139-1423 | 412-508-1536 |
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