Healthcare Provider Details

I. General information

NPI: 1518034339
Provider Name (Legal Business Name): TROY S SESKEY CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 DUTCH RIDGE RD
BEAVER PA
15009-9727
US

IV. Provider business mailing address

149 WAYNE DR
CRANBERRY TWP PA
16066-7329
US

V. Phone/Fax

Practice location:
  • Phone: 724-773-4621
  • Fax: 724-773-4696
Mailing address:
  • Phone: 724-779-3025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN526169L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: