Healthcare Provider Details

I. General information

NPI: 1598772238
Provider Name (Legal Business Name): CYNTHIA MCGETTIGAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. CYNTHIA SERFOZO

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 HOLLAND AVE
BRADDOCK PA
15104-1599
US

IV. Provider business mailing address

815 LOCUST ST
TURTLE CREEK PA
15145-1535
US

V. Phone/Fax

Practice location:
  • Phone: 412-636-5591
  • Fax: 412-636-5689
Mailing address:
  • Phone: 412-824-0994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN217559L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: