Healthcare Provider Details

I. General information

NPI: 1912254715
Provider Name (Legal Business Name): BRIDGET ROSE JOREITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2012
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8775 NORWIN AVE STE D
IRWIN PA
15642-2718
US

IV. Provider business mailing address

8775 NORWIN AVE STE D
IRWIN PA
15642-2718
US

V. Phone/Fax

Practice location:
  • Phone: 724-863-2660
  • Fax: 724-863-2668
Mailing address:
  • Phone: 724-863-2660
  • Fax: 724-863-2668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP012257
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: