Healthcare Provider Details
I. General information
NPI: 1558472027
Provider Name (Legal Business Name): PATRICIA REARDON ZAMISKA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 PEASANT VILLAGE LN SUITE 100
BELLE VERNON PA
15012-4333
US
IV. Provider business mailing address
145 LINDEN AVE
CHARLEROI PA
15022-1114
US
V. Phone/Fax
- Phone: 724-929-7800
- Fax: 724-929-3229
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN271528L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | RN271528L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: