Healthcare Provider Details

I. General information

NPI: 1174758205
Provider Name (Legal Business Name): CATHY A PIPER C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 05/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MICHIGAN AVE
JEANNETTE PA
15644-2433
US

IV. Provider business mailing address

601 MICHIGAN AVE
JEANNETTE PA
15644-2433
US

V. Phone/Fax

Practice location:
  • Phone: 724-523-2323
  • Fax: 724-523-2754
Mailing address:
  • Phone: 724-523-2323
  • Fax: 724-523-2754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberUP002310G
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: