Healthcare Provider Details

I. General information

NPI: 1215536339
Provider Name (Legal Business Name): CASEY EVELSIZOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date: 11/09/2020
Reactivation Date: 01/13/2021

III. Provider practice location address

6 LOOP ST STE 3
ASPINWALL PA
15215-3248
US

IV. Provider business mailing address

3843 MEYERS LN SUITE 900
ALLISON PARK PA
15101-3959
US

V. Phone/Fax

Practice location:
  • Phone: 412-235-3075
  • Fax: 412-235-3751
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP023039
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: