MEDICARE: JENNIFER LOU ANTO 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	SP019872	PA

General Provider Information

NPI Number	:	1932669231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LOU ANTO CRNP

Provider Business Mailing Address
First Line	:	100 TECH ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15289-2501
Country	:	US
Telephone Number	:	412-268-2157
Fax Number	:	412-268-6357

Provider Business Practice Location Address
First Line	:	100 TECH ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15289-2501
Country	:	US
Telephone Number	:	412-268-2157
Fax Number	:

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

Provider Enumeration Date	:	03/22/2019
Last Update Date	:	06/02/2026

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