Healthcare Provider Details

I. General information

NPI: 1255385076
Provider Name (Legal Business Name): HOWARD PAUL BISSETT JR. CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 HOSPITAL DR
ALIQUIPPA PA
15001-2123
US

IV. Provider business mailing address

144 IRWIN AVE
HOUSTON PA
15342-1065
US

V. Phone/Fax

Practice location:
  • Phone: 724-857-1348
  • Fax: 724-857-1481
Mailing address:
  • Phone: 724-746-4430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN177515L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: