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NPI Code Detail

MEDICARE: MRS. AGNES MARIE NOSSEK MN.APRN,BC

MEDICARE: MRS. AGNES MARIE NOSSEK MN.APRN,BC
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
1163WP0809XAdult Psychiatric/Mental Health Registered NurseRN-192922-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CP 179OTHERPAALL BUT CONTROLLED SUBSTA

General Provider Information

NPI Number : 1255399911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AGNES MARIE NOSSEK MN.APRN,BC
Provider Business Mailing Address
First Line : 118 MCCLELLAND DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15238-1018
Country : US
Telephone Number : 412-767-9240
Fax Number :
Provider Business Practice Location Address
First Line : 7180 HIGHLAND DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1206
Country : US
Telephone Number : 412-365-4811
Fax Number : 412-365-5819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 07/08/2007

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