MEDICARE: ERIN MARIE METOSKY CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP025059	PA

General Provider Information

NPI Number	:	1043962855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN MARIE METOSKY CRNP

Provider Business Mailing Address
First Line	:	5250 LIBERTY AVE APT 342
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-2377
Country	:	US
Telephone Number	:	412-513-6149
Fax Number	:

Provider Business Practice Location Address
First Line	:	745 N HIGHLAND AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-2526
Country	:	US
Telephone Number	:	412-362-6622
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2022
Last Update Date	:	01/30/2022

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