MEDICARE: KATRINA L SANI 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	SP017011	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235680083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA L SANI CRNP

Provider Business Mailing Address
First Line	:	5140 LIBERTY AVE FL 2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-2215
Country	:	US
Telephone Number	:	412-578-3306
Fax Number	:	412-605-6446

Provider Business Practice Location Address
First Line	:	850 BOYCE RD STE 2
Second Line	:
City	:	BRIDGEVILLE
State	:	PA
Zip	:	15017-1541
Country	:	US
Telephone Number	:	724-263-9322
Fax Number	:	724-942-3178

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

Provider Enumeration Date	:	10/17/2016
Last Update Date	:	04/02/2020

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